Special Recognitions

My office offers commemorative greetings and recognitions for special events and achievements for Michigan residents. These include:

Anniversaries - 25 years of marriage or more
Birthdays - 80 years of age or older
Scouting Achievements - Eagle Scout or Girl Scout Gold Award recipients
Citizenship - new US citizens
Special requests - Requests for recognitions of educational achievements, building dedications, retirements, special events or other personal achievements will be given individual consideration.

If you would like to request a special recognition, please take a moment to fill out this form.

Please enter your name, address, and phone number.
* Fields marked with an asterisk are required.

Prefix:*	(e.g., Ms./Mrs./Mr.)
First name:*
Last name:*
Street Address:*
Street Address:
City:*
State:*
ZIP Code:*
E-mail:*
Daytime Phone:*	(in case we have questions, or need more information)

Type of Recogition: (Please click on arrow to view list.)
*

Name of recipient:

Address of recipient & instructions for mailing:

Date of the event or deadline:

Description of recognition:

If you have trouble with this form, or need more information, please contact my Mid Michigan Office at 517-203-1760.