My office accepts citation requests at all times, but please allow three to four weeks prior to an event for a request to be processed. If a citation is needed in two weeks or less, please give my office a call to ensure appropriate arrangements are made. While we do try our best, we cannot guarantee a citation will be available by a certain date. For any questions, please contact my office.
General Information
Full Names of Those Being Cited *
Street Address *
City *
State *
Zip *
Phone Number (with Area Code) *
Presentation
How would you like the Representative to present this citation? *
Preferred Date *
Preferred Time *
Preferred Location *
Notes
Anniversary Information
Spouse 1 Full Name *
Spouse 1 Maiden Name
Spouse 2 Full Name *
Spouse 2 Maiden Name
Name Of Minister/Officiant, Including Official Title *
Date of Ceremony *
Number of Children *
Names of Children
Number of Grandchildren *
Names of Grandchildren
Number of Great-Grandchildren *
Names of Great-Grandchildren
Family, Community or Other Notable Achievements
Contact Information
Additional Notes
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1501 Lehigh Street, Suite 206Allentown, PA 18103-3892
P*: (610) 791-6270
F*: (610) 791-6274
Hours of Operation - Monday through Friday, 8:30 a.m. to 4:30 p.m.
128 Main CapitolP.O. Box 202134Harrisburg, PA 17120-2134
P*: (717) 787-2909
F*: (717) 787-2176