Congresswoman Susan W. Brooks

Representing the 5th District of Indiana

Presidential Greetings

If you're a resident of Indiana's 5th District and would like to receive a greeting from the President of the United States, please complete the form below. I would be happy to help you in securing any of the following:

Birthday Greetings (for persons 80 years of age or over or veterans over 70 years of age or older)
- For veterans, please include the servicemember's service branch and rank
Anniversary Greetings (for couples celebrating 50 years of marriage or more)
Wedding (send your request after the event)
Baby's Birth
Condolences
Eagle Scout
Girl Scout Gold Award
Retirement (after 30+ years)
School Graduation
Serious Illness

* Indicates information required to submit your request.

Contact Information

First Name:

Last Name:

Street Address:

Street Address Continued:

City:

State:

Zip Code:

Email:

Telephone

Telephone Number (Daytime):

Voice VP TTD

Telephone Number (Evening):

Voice VP TTD

What are these options?
This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Honoree Information

Full Name:

Street Address of Honoree:

City:

State:

Zip Code:

Greeting Requested:

Exact Date of Occasion:

Please provide other necessary information below:

Congresswoman Susan W. Brooks

Representing the 5th District of Indiana

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