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Congressional Commendation

If you're a resident of my district and would like to receive a greeting from me, please complete the form below. I would be happy to congratulate you on life's many milestones, including but not limited to:

Appointment to public office
Awards or honors
Citizenship
Eagle Scout
Election to public office
Girl Scout Gold Award
Graduation
Heroism
Military academy appointment
Other achievements

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Your Contact Information

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First Name *

Last Name *

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Email Address *

Street Address *

City *

State *

Zip Code *

Phone Number *

About the Honoree

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First Name *

Last Name *

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Zip Code *

Organization in care of (if applicable)

Occasion *

Occasion Date

Occasion Details (Number of years, illness, degree, milestone, etc.)