Business Commendation Request Form

The club or district requesting the certificate
The vote tally is requested to make sure the request (endorsement) is that of the organization and not of a single member.
Complete address to ensure receipt of certificate. (P.O. Box or Street, City, Zip Code+4)
Please make sure the name is spelled correctly as this is what will go on the certificate
Name of owner, manager or other point of contact
Describe (100 words or less) why the commendation is merited.
Individual submitting request
Your position within the organization (president, treasurer, fundraising chairman etc)
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Enter the characters shown in the image.