Senator S. Kiki Curls

Courtesy Resolution Fact Sheet - Birthday

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)
Number of copies to be prepared and for whom:
Name of honoree:
Full address of honoree:
Date and place of special celebration:
Date and place of birth:
Names of parents:
Father:
Mother:
Education:
Occupation:
Spouse's name:
Names of children:
Awards, special accomplishments, memberships:
Number of grandchildren, great-grandchildren, etc:
Other pertinent information:
Mailing instructions: