Eagle - Summit Award - and Quartermaster Recognition

Essentially, I would like to make a page which includes the following copy (the page could be embellished with images of the Eagle Scout Award, the Quartermaster Award, and Auxiliary logos:

It is customary for an Eagle Scout or Quartermaster to receive congratulatory letters from civic, community, military and other leaders who appreciate and recognize the importance of their accomplishments. The National Commodore of the Coast Guard Auxiliary has expressed an interest in supporting our youth by providing such encouragement. If you would like to request such a letter on behalf of your Eagle Scout or Quartermaster candidate (or if you are a Eagle Scout or Quartermaster candidate yourself), please provide us with the following information.

(ideally this would be in a form which could then be exported right into the letter:)

Name Address Telephone Email Eagle Scout or Quartermaster? Date you received or expect to receive your Eagle Scout or Quartermaster award Year you became a Cub Scout (if applicable) Year you became a Boy Scout (if applicable) Year you became a Sea Scout (if applicable) Brief description of your Service Project: Brief description of your plans for the future (high school, college, career, etc.): Would you prefer that the letter be mailed directly to the address indicated above, or would you like a Coast Guard Auxiliary officer to present it to the candidate at his or her Court or Bridge of Honor ceremony?

Thank you for your interest in the Coast Guard Auxiliary. You or your Eagle Scout or Quartermaster candidate will receive your letter or be contacted by one of our local Coast Guard Auxiliary officers within a few weeks time. If for some reason you do not receive the letter or contact, please contact (NACO’s staff? And/or) [email protected].

(we will of course need to set up such an email address and direct it to [email protected])