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Girl Scout Gold Award Letter Request Form

All requests for recognition from the Executive Office of the Governor should be submitted at least 7 business days prior to the date recognition is needed.

Please remember that recognition requests are reviewed on a case-by-case basis and the Governor's Office reserves the right to decline any request.

For questions, please call the Executive Office of the Governor - Constituent Relations Division at (517) 335-7858.

* indicates field is required

Recognition Information

Scout Troop City

Scout Troop Number

Additional Information

Attachment for Additional Information

Requestor Information

First Name of Requestor

Last Name of Requestor

Mailing Address

City

State

Zip Code

Phone

Recipient Information

First name of scout being recognized

Last name of scout being recognized

Recipient Phone

Check this box to ship this letter to an address that is different than the Mailing Address above

Alternative Mailing Address

Alternative Mailing City

Alternative Mailing State

Alternative Mailing Zip Code

Date by which letter is needed