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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.


Organization:
Recipient:
Your Name:
Phone:
Fax:
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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