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Presidential/Vice-Presidential Photograph Request Form

Today's Date:



To be completed by Requesting Office:

Member

Staff Contact

Phone


To be completed by Recipient:

Name

Address

City   State   Zip

Phone:   Email:  

  Autograph No Autograph
President
Vice President
First Lady
President and First Lady

Print out this form and send it to:

Congressman Mike Doyle
225 Ross Street, 5th Floor
Pittsburgh, PA 15219

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The 111TH CONGRESS (2009-2011) The Library of Congress: THOMAS



 

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A New Direction: Progress for the American People