Presidential Greetings
Greeting Type
What is the occasion?:
*
--- Please Select One ---
Birth of Child
Birthday
Condolence
Eagle Scout
Girl Scout Gold Award
Graduation
Retirement
Spiritual Achievement
Wedding
Wedding Anniversary
Child's Birthday:
Letter To:
Birthday For:
Date of Upcoming Birthday:
Age:
Web Link to Obituary:
Date of Death:
Date Earned:
Date Earned:
Graduation Type:
Graduation Date:
Achievement Type:
Achievement Date:
Wedding Date:
Anniversary Date:
Years Married:
Contact Information for Greeting Recipient
Prefix:
*
First Name:
*
MI:
Last Name:
*
Suffix:
Appellation:
--- Please Select One ---
Ph.D.
Ed.D.
M.D.
USA
USA, Retired
USAR
USAR, Retired
ARNG
ARNG, Retired
USN
USN, Retired
USNR
USNR, Retired
USMC
USMC, Retired
USAF
USAF, Retired
ANG
ANG, Retired
USCG
USCG, Retired
USCGR
USCGR, Retired
USSF
USSF, Retired
Email Address:
*
Street Address:
*
Street Address: (Continued)
City:
*
State:
*
--- Please Select One ---
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
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
AA
AE
AP
FM
GU
MH
MP
PR
VI
AS
Zip Code:
*
Requested By:
*
--- Please Select One ---
Constituent
Member
Is the individual requesting the greeting from the congressional office the same as the greeting recipient?:
*
No
Yes
Member Office:
*
Dispatch:
*
--- Please Select One ---
Mail to greeting recipient
Mail to individual requesting the greeting
Notes: