Retirement Citation

Honoree's Full Name*
Honoree's Address*
City*
State*
Zip Code*
Place of Employment*
Date Employment Began*
Retirement Date*
Occupation*
(Include brief description of jobs/titles held at final employer, if applicable)
Special Achievements/Honors
Date of Retirement Celebration*
Location of Celebration*
Contact Person Information:
Contact's Name*
Contact's Address*
City*
State*
Zip Code*
Contact's Phone*
Contact E-Mail Address*

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Contact Person Information: