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Senatorial Ceremonial Document Request Form
Type of document needed:
Please Check One:
Certificate of Recognition
In Memoriam Certificate
Doucment needed by (date):
Request must be made at least 10 business days prior to the date the document is needed, and request for 10 or more must be receieved 20 business days in advance - no exceptions
Name of person (s) or event/occasion to be recognized:
Name of person (s) or event/occasion to be recognized: :: One (1) Name Per Line Please, Up to 30 Names
Reason for Recognition:
Reason for Recognition: :: Please provide as much information as space will allow.
Date to appear on document:
Will this be picked up at the district office?
Will this be picked up at the district office? :: If not, please provide address below to which the document(s) should be mailed
PLEASE NOTE: The Senator's office reserves the right to deny any request for ceremonial documents at it's discretion.
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By Authority of Committee to Elect Catherine E. Pugh, K. E. Timmons, Treasurer | 326 St. Paul Place, Suite 300 | Baltimore, MD 21202