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Resolutions, Proclamations, Certificates. . . .

Representative McCormick is pleased to provide a Resolution, Proclamation or special certificate to a worthy indivisual, club, team or for a special purpose such as an anniversary or birthday. Please complete this form and we will contact you as soon as possible.

* Information required for submission


* Organization:
* Recipient:
* Your Name:
* Phone:
   Fax:
* E-Mail:
* Confirm E-Mail:
* Address:
* City:
* State:
* Zip Code:
* Event:
* Date:
* Location:

* Purpose? Please Describe:


* Would you like for Representative McCormick to enclose a special letter?
Yes
No
* Would you like Representative McCormick to present the Resolution, Proclamation or certificate?
Yes
No
Comments:





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