If you're a resident of my district and would like to receive a greeting from the President of the United States, please fill in the form. I would be happy to help in securing any of the following:

  • Birthday Greetings (for persons 80 years of age or over)
  • Anniversary Greetings (for couples celebrating 50 years of marriage or more)
  • Wedding (send your request after the event)
  • Baby's Birth

Your Information
Prefix First Name * Last Name * Suffix (Jr., Sr.)
* Your Address:
* City:
State:
 Zip:
* Your Email:
* Your Phone:

If you do not know your four digit extension for your zip code, please check the U.S. Postal Service website for more information.

Honoree's Information
Prefix * First Name * Last Name * Suffix (Jr., Sr.)
* Honoree's Address:
* City:
State:
 Zip:
Organization in care of:
(if applicable)
* Occasion:
* Occasion Details:

Number of years, illness, degree, milestone, etc.
* Occasion Date:

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