City Council Commendation Request Form

CITY OF READING – CITY COUNCIL OFFICE COMMENDATION REQUEST FORM

**PLEASE TYPE OR PRINT CLEARLY**

☐ BIRTHDAY	☐ WEDDING ANNIVERSARY
☐ EAGLE/GIRL/BOY/CUB SCOUTS	☐ COMMENDATION

(Please Check One)

DATE OF REQUEST:

*** All requests must be made 2 weeks prior to date certificate is needed

DATE NEEDED:

FOR:

WEDDING ANNIVERSARY DAY/YEAR:

BIRTHDATE:

AGE: TROOP #:

Will this be accepted at a City Council meeting? ☐ YES ☐ NO

*Council meets the 2nd and 4th Monday of each month at 7pm in Council Chambers
If not, Please indicate address to which certificate should be mailed:

NAME:

OFFICE/AGENCY:

STREET:

CITY, STATE ZIP:

EMAIL:

COMMENTS:

***Please attach any additional information you have available to assist in the preparation of the commendation.

City Council Office – City Hall
815 Washington Street

Reading, PA 19601 Council@readingpa.org
610-655-6204 (voice)

610-655-6697 (fax)

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