CONGRATULATORY LETTER FORM

ONE REQUEST FORM PER CONGRATULATORY LETTER

Event Date (Required)

Is this an annual event?
YesNo
If applicable, how many times has this event been held?

Title of Event (Required)

Name of Organization (required)

Address of organization(required)

Year organization was founded:

Mission of the organization(required):

Who in L.A. County does the organization serve (required)?

If applicable, why are the honorees collectively being honored?

Requester's Information

Requester's name (required)

Name of Organization (required)

Requester's Address (required)

Requester's Email (required)

Requester's telephone number (required)