Long Service Certificate Request

 Chairman: Judy Bates, jlbates5900@sbcglobal.net

Certificates for Club Anniversaries or Long Term Member Service (defined as 20+ years) may be obtained from your CGCI Certificates Chairman.

Complete and submit the form below.  It will automatically be sent to the Chairman
Please allow 4 weeks for processing, shipping and handling

Leave this field blank
Name of club or district requesting the certificate
  • Choose
  • Arboretum
  • Bay Bridges
  • Bay Ocean
  • Buttes
  • Cascade
  • Channel Islands
  • Costa Verde
  • Desert Empire
  • Diablo Foothills
  • Golden Foothills
  • Greater Los Angeles
  • Humboldt
  • Luther Burbank
  • Mendo-Lake
  • Montana de Oro
  • Orange County
  • Palms to Pines
  • Palomar
  • Roadrunner
  • Sacramento River Valley
  • San Fernando Valley
  • Santa Clara Valley
  • Sequoia Foothills
  • Top `O The State
  • Valley Lode
  • Yosemite Gateway
  • Nothing found
Please provide full name to appear on the certificate
Date the certificate is to be presented

Provide name and complete mailing address (PO Box or Street, City and Zip Code +4)