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Legislative Proposal

Certificate Request

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Legislative Proposal

Contact Information

Name of Organization

First Name

M.I.

Last Name

Contact Email

Contact Phone

Address

City

State

Zip Code

Proposal Idea

Proposal Summary

Problem

Solution

Addtional Background Information

BROWSE FILE(s)

Attach reports, studies, etc.

Process Background

Cost

Likely Support

Arguments In Support

Likely Opposition

Arguments In Opposition

History

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CONTACT INFORMATION

Certificate Request

Contact Information

Recognition Type Requested

Contact Person

Contact Number

Contact Email

Honoree Information

Honoree's Name

If there are multiple honorees, please list here

Name of Organization (if applicable)

Enter Biographical Background Information about the Honoree

Name of Recognition the Honoree is Receiving

Brief Description Why Honoree is Receiving the Recognition

Presentation of Recognition

Is the Recognition being Presented at an Event?

Name of Event

Event Date and Time

How would you like to receive the item?

Pickup Date and Time

Please allow at least 3 business days from the date of your request.

Provide additional details below, including location and time of presentation

Please allow at least 5 business days from the date of your request.

Please be advised that, while we will do our best to honor the desired delivery date, we cannot guarantee every request.

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Capitol

Long Beach

Huntington Park

Legislative Proposal

Email the Senator

Certificate Request

Office Information

Capitol

Long Beach

Huntington Park