Retirement Citation Full Name of Retiree(Required) Street Address(Required) City(Required) State(Required) Zip Code(Required) Name of Employer(Required) Years with Employer(Required) Career AccomplishmentsDate of Event (if applicable) MM slash DD slash YYYY Time : Hours Minutes AM PM AM/PM Location Contact Person Information:Name(Required) Contact E-Mail Address(Required) Telephone Number:(Required)Street Address(Required) City(Required) State(Required) Zip Code(Required) Request Presenter:(Required) Yes No Mail Citation to: (Check one) Retiree Contact Person *Unless otherwise noted, the citation will be sent to the retiree's home.
