Certificate Request Form

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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*:

Contact's First Name*:

Contact's Last Name*:

Contact's E-mail*:

Contact's Phone Number*:

Contact’s Title/Role*:

Please include 2 lines of text for placement on certificate.

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.*

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.

Enter the word:

Councilmember
Dr. Joni Ricks-Oddie

City Hall Office
411 West Ocean Blvd. 11th Floor
Long Beach, CA 90802
(562) 570-6137

district9@longbeach.gov

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Mary Zendejas

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Certificate Request Form

CouncilmemberDr. Joni Ricks-Oddie

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Councilmember
Dr. Joni Ricks-Oddie