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Presidential Greeting

If you're a U.S. citizen and a resident of my 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 (100+)
50th Wedding Anniversary
60th Wedding Anniversary
70th Wedding Anniversary
Wedding
Baby's Birth (after the baby is born)
Graduation
Retirement
Condolence
Girl Scout Gold Award
Eagle Scout Award
Religious Milestone

Required fields are followed by *.

Your Contact Information

Prefix

First Name *

Last Name *

Suffix

Email Address *

Street Address *

City *

State *

Zip Code *

Phone Number *

About the Honoree

Prefix

First Name *

Last Name *

Suffix

Street Address *

City *

State *

Zip Code *

Organization in care of (if applicable)

Occasion *

Occasion Date

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

Additional Comments

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