Senator Hutchison -- Congratulatory Letter Request Form

CONGRATULATORY LETTER REQUEST FORM

Name and Address of Person Making the Request:

If meant as a surprise, should the letter be sent to this address: YES NO

Phone number where you can be reached:

Name and Address of Person to Receive the Letter:

Salutation on letter:

Should the letter be sent to this address: YES NO

Do you want a greeting from Senator Hutchison?: YES NO

Do you want a Presidential Greeting?: YES NO

NOTE: Presidential greetings are only sent for birthdays of 80+ years or for wedding anniversaries

of 50+ years.

Select the occasion or event: (only one event can be selected per form)

Birth

Birthday -- What year?:

Eagle Scout -- Troop Number?:

Girl Scout Gold -- Troop Number?:

Royal Rangers Gold Medal -- Outpost Number?:

Retirement (military or non-military)

Wedding

Wedding Anniversary -- What year?:

Date of Event:
Date Letter Needed (if different from date of event):

Years of Service (for non-military retirement):
Years of Service/Branch of Service (for military retirement):

Please enter any other pertinent information that was not provided above:

When you have completed the form, please print it and mail to the following address:

Senator Kay Bailey Hutchison

(ATTN: Cori Modisett)

961 Federal Building

300 East 8th Street

Austin, Texas 78701

If filling out the form by hand, please write legibly. Thank you.