Ninth District

Certificate Request Form

To request a certificate from Councilmember Dr. Joni Ricks-Oddie, please submit the following request form. Please allow 7 business days to for our team to follow up with your request.

Name of Organization*:

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Contact's First Name*:

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Contact's Last Name*:

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Contact's E-mail*:

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Contact's Phone Number*:

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Contact’s Title/Role*:

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Please include 2 lines of text for placement on certificate.

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How would you like to receive the item?

Presented at Event Will Be Picked Up *

If picking up, when? Please allow for at least one business day from the date of your request.*

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If you would like the item presented at an event, provide details below, including date, time, and location. Please allow at least 5 business days from the date of your request.

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