Mayor Carl A. Redus, Jr.

200 East 8th Avenue Suite 201 Pine Bluff, Arkansas 71601 870-543-1855

                   

 

Congratulatory Letter Request Form

 

Please complete the following information.

 

Letter requested by ____________________________________________________________

Street address________________________________________________________________

City                                                    State _     __ ___   Zip_________ Phone ______________

Mail the letter to this address?________

 

Please tell us about the person whom Mayor Redus is congratulating.

Name _______________________________________________________________________

Salutation____________________________________________________________________

Street address ________________________________________________________________

City                                                   ______           State _     ___ _______   Zip_____________ 

Mail the letter to this address?________

Occasion or event (please select one from left column and complete detail in right column)

            _____ Birth                                          Date of birth______________

            _____ Birthday                                    Age of recipient ___________

            _____ Eagle Scout                             Troop #__________________

            _____ Girl Scout Gold Award             Troop #__________________

            _____ Royal Rangers Gold Medal      Outpost #_________________

            _____ Retirement                               Years of service ___________

            _____ Military retirement                     Branch and rank ___________

            _____ Wedding announcement         Date of wedding ___________

            _____ Wedding anniversary               Year of wedding ___________

            _____ Special achievement               Please elaborate in the space below

______________________________________________________________

______________________________________________________________

______________________________________________________________

_____ Other Recognition                    Please elaborate in the space below

______________________________________________________________

______________________________________________________________

______________________________________________________________

 

Date of occasion or event_______________________________________________________

 

 

Mail to:            Office of Mayor Carl A.. Redus, Jr.   or    Fax to:      Mayor Carl A. Redus, Jr.

                        200 East 8th Avenue Suite 201                                   870-543-1801

                        Pine Bluff, Arkansas 71601