Request a congratulatory certificate for an individual or organization

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 and ZIP:  
Email:
Home Phone:
Relation to Nominee:

Requested For:
Title:
First Name or Org.:
Last Name:
Address:
City:
State and ZIP:  
Phone:
Needed By (Date):

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: