Congressional Commendations

Congressional Commendations

Note: Fields marked with an * are required.

As a Member of Congress, it is my privilege to be able to officially recognize outstanding public achievements by the people who live in our Congressional district.

• Appointment to public office
• Awards or honors
• Citizenship
• Eagle Scout
• Election to public office
• Girl Scout Gold Award
• Graduation
• Heroism
• Military academy appointment
• Notable birthdays
• Wedding anniversaries
• Other achievements of public distinction

Prefix:

Mr. Miss Mrs. Ms. Mr. and Mrs. Mr. and Mr. Mrs. and Mrs. Dr. Dr. and Mrs. Mr. and Dr. The Hon. The Hon. and Mr. The Hon. and Mrs. Congressman Congressman-Elect Congresswoman Congresswoman-Elect Senator Senator and Mr. Senator and Mrs. Pastor Pastor and Mrs. Reverend The Rev. and Mrs. The Rev. Dr. The Rev. Dr. and Mrs. Sister Rabbi Rabbi and Mrs. Sheriff Sheriff and Mr. Sheriff and Mrs. Admiral Airman Airman First Class Airman Basic Chief Master Sergeant Commander Command Sergeant Major Commodore Admiral Fleet Admiral General of the Army Lieutenant Commander Major Major General Master Chief Petty Officer Master Gunnery Sergeant Master Sergeant Midshipman Seaman Seaman Apprentice Seaman Recruit Senior Airman Senior Master Sergeant Sergeant Major

First Name: *

Last Name: *

Street Address: *

Street Address Continued:

City: *

State: *

AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code: *

Email: *

Daytime Phone Number: *

Honoree Information

Honoree's Prefix:

Mr. Miss Mrs. Ms. Mr. and Mrs. Dr. Dr. and Mrs. Mr. and Dr. The Hon. The Hon. and Mr. The Hon. and Mrs. Congressman Congressman-Elect Congresswoman Congresswoman-Elect Senator Senator and Mr. Senator and Mrs. Pastor Pastor and Mrs. Reverend The Rev. and Mrs. The Rev. Dr. The Rev. Dr. and Mrs. Sister Rabbi Rabbi and Mrs. Sheriff Sheriff and Mr. Sheriff and Mrs. Admiral Airman Airman First Class Airman Basic Chief Master Sergeant Commander Command Sergeant Major Commodore Admiral Fleet Admiral General of the Army Lieutenant Commander Major Major General Master Chief Petty Officer Master Gunnery Sergeant Master Sergeant Midshipman Seaman Seaman Apprentice Seaman Recruit Senior Airman Senior Master Sergeant Sergeant Major

First Name of Honoree: *

Last Name of Honoree: *

Street Address of Honoree: *

Honoree's City: *

State: *

AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Honoree's ZIP Code: *

Recognition Type: *

Birthday (100 ) 50th Wedding Anniversary 60th Wedding Anniversary 70th Wedding Anniversary Wedding Birth of Baby Graduation Retirement Condolence Girl Scout Gold Award Eagle Scout Award Religious Milestone Other Achievements of Public Distinction

If submitting information for an Eagle Scout honoree, please list the rank achieved:

If submitting information for an Eagle Scout honoree, please describe the honoree's Eagle Scout Service Project:

Date of Occasion: *

Occasion Details (Number of years, illness, degree, milestone, etc.) *

Additional Comments

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