Request a congratulatory certificate

In the space below please provide detailed information on the company, person, non-profit, or school to be recognized and why. If the honoree is a company or non-profit organization, please include any historical background of their work in Michigan.
Requested by:
First name:
Last name:
Address:
City:
State:
ZIP:
Home/Cell Phone:
Email:

Requested for:
Title:
First name or Organization:
Last name:
Address:
City:
State:
ZIP:
Phone:
Needed by:

In the space provided below please give a detailed description on the company, person, non-profit, or school you would like to recognize and why.

Address and person where the greeting can be sent:

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