Senator Karla May

Courtesy Resolution Fact Sheet - Anniversary

First, please give us your name, address, phone and email address.

Name:
Address:
City:
State:
Zip:
Phone:
Email address:

Now we need information regarding the resolution.

Date Resolution Needed: (mm/dd/yyyy)
First and last names of couple:
Husband:
Wife:
Wife's Maiden Name:
Place of residence:
Date and place of special celebration:
Date and place of marriage:
Names of children:
Number of grandchildren, great-grandchildren, etc:
Occupation: (include number of years and whether retired)
Husband:
Wife:
Special awards, accomplishments, memberships:
Husband:
Wife:
Other pertinent information:
Mailing instructions: