Request a Letter of Recognition

Letters of recognition are available for District 6 residents for the following occasions:

Eagle Scout
Girl Scout Gold Award
Anniversary
Birthday
Retirements

In addition, my office can request a letter of recognition from the White House for individuals celebrating an 80th birthday (or older) or couples celebrating their 50th
(or higher) wedding anniversary. Please allow eight to ten weeks for these requests.

All details included in the form below will be sent to a team member in my District Office. If you have any questions about this form as you are completing it, please call my District Office team at (480) 946-2411.

Request Form

All fields marked with an * are required

Salutation:*

First Name:*

Middle Initial:*

Last Name:*

Date Of Birth:*

Gender:*

Home Phone:*

Fax Number:*

Work Phone:*

Mobile Phone:*

E-mail Address:*

Address:*

Address 2:*

City:*

County:*

State:*

Zip Code(5-Digit):*

Zip Code(4-Digit):*

Mailing Address:*

Address 2:*

City:*

State:*

Zip Code(5-Digit):*

Zip Code(4-Digit):*

If the letter is for someone else, please provide to whom and where the letter should be addressed. *

Name of organization:

Description of event to be celebrated (i.e. 18th Birthday, 50th Wedding Anniversary): *

Date of event: *

Date needed: *

Any important details or special requests?

Would you like the letter mailed to you? *

Yes

I will call to schedule a time to pick it up.

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