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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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