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Tuesday, December 11, 2012
Request Congressional Recognition
Congressman Camp's office sends special Congressional recognition certificates to young people in the Fourth Congressional District of Michigan. For example, attaining the rank of Eagle Scout and the Girl Scout Gold Award, or equivalent.

Certificates to congratulate a citizen of the Fourth District who has earned public distinction for outstanding public service to the community are also available.  You may submit your certificate request by filling out the form below and submitting it to Congressman Camp's office, or you can mail or fax a request to:

Congressman Dave Camp
Attn: Tribute Request
341Cannon Building
Washington, D.C. 20515
Fax: 202-225-9679

Requestor's Information

Name of Requestor:

Address of Requestor:

City:

State:

Zip:

Home Phone:

Business Phone:

E-Mail:

Recipient's Information

Name of Recipient:

Address of Recipient:

City:

State:

Zip:

For attaining:

  • Wedding Anniversaries: 50 years or more
  • Birthdays: 90 years or older
  • Eagle Scout Award and Girl Scout Gold Award
  • Other

Description of the event or special occasion:
(Please include Birth date / Occasion date)