Form Center

2. Requester Name:*
4. Requester Organization/Agency:*
6. Requester Phone:*
7. Requester Email:*
9. Date Needed:
   Date Needed:
11. Method of Delivery *

    1. Pickup (City Hall, 101 City Hall Plaza, Durham, NC)
    2. Mail (USPS)
13. Mailing Address
15. Recipient:
17. Organization (if applicable):
19. Street Address:
21. City:
23. State:
    -- Select One --ALAKASAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMHMAMIFMMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVAVIWAWVWIWY
24. Zip Code:
26. Type of Letter*

    Please select the type of letter you are requesting.

    1. Birthday (for individuals turning 80 or older)
    2. Church/Organization Anniversary
    3. City Employee Retirement
    4. Eagle Scout Award
    5. Family Reunion
    6. High School Reunion
    7. Military Retirement
    8. Wedding Anniversary (for 25 years or more)
    9. Welcome Message for Events Held in Durham
    10. Other
28. To whom should the letter be addressed?*

30. To assist us in drafting the letters, we request additional information be included in your request.

    Birthday (for individuals turning 80 or older) - Please include life milestones, accomplishments, or additional information about family members, if applicable.

    Church/Organization Anniversary - Please provide a brief history of the church, organization, or person being honored.

    City Employee Retirement - Please include highlights of the person's work.

    Eagle Scout/Gold Award - Please provide a description of any projects completed for the award.

    Family Reunion - Please include a brief history of your family or, if being held in Durham, a schedule of activities.

    High School Reunion - If being held in Durham, please include a brief schedule of activities. 

    Military Retirement - Please include highlights of the person's military career.

    Wedding Anniversary (for 25 years or more) - Please include life milestones, accomplishments, or additional information about family members, if applicable.

    Welcome Message for Events Held in Durham -  Please provide information on the hosting organization and the purpose/background of the event. 

32. Please list additional information.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field