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Business Commendation Certificate Request Form
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Organization Name
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Club or District requesting certificate
District (if club is requestor)
Requestor's mailing address
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Date of vote by members
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Date of presentation
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Business Name
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Official name to go on certificate
Business Address
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Business Phone
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Business Website
Business Point of Contact
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Owner, manager or other main contact
Recommendation
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Person submitting request
Your Email
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Your Position
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