RESOLUTION INFORMATION FORM
Mail, fax or email to attention of Ilda DaMota at:
Senator
Marc R. Pacheco
State House, Room 312-B
Boston, MA 02133
fax: (617) 722-1074
Name of Recipient: __________________________________________________
Address of Recipient: ________________________________________________
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Event/Milestone Celebrated: ___________________________________________
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Date of Event: ______________________________________________________
Would you like Sen. Pacheco to attend? Yes _______ No _______
In order to complete your resolution request, we need some additional information about the honoree. Please provide a minimum of four accomplishments or notable facts:
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Person to Contact:_________________________________________________
Phone Number: ____________________________________________________