Athletic Citation

My office accepts citation requests at all times, but please allow three to four weeks prior to an event for a request to be processed. If a citation is needed in two weeks or less, please email Kendra Wiederhold at kwiederh@pahousegop.com to ensure appropriate arrangements are made. While we do try our best, we cannot guarantee a citation will be available by a certain date. Please contact my Harrisburg office at 717-787-1000 for more information or to ask a question.

General Information

Full name of the Person, Team or Organization to be cited. *

Street Name *

City *

State *

Zip Code *

Phone Number (with Area Code) *

Presentation

Would like Rep. Mackenzie to present this citation *

in person
in private

Preferred Date *

Preferred Time *

Preferred Location

Notes *

Athletic Information

Sport *

Team or Organization Name *

Roster (if applicable) *

School District and School Name (if applicable) *

Specific Award or Accomplishment *

Contact Information

Name of Applicant *

Phone Number (with Area Code) *

Email Address *

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Address Line 1 *

Address Line 2 *

City *

State *

Zip Code *

Additional Notes *

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