Order of the Long Leaf Pine

As a recipient of the Order of the Long Leaf Pine Award, you've proven your exemplary commitment to serving your community and the state of North Carolina. This form will allow me the opportunity to help celebrate your achievements. Please fill out the information below for the awards. Please allow up to one month to receive the finished award as it may be difficult to get the necessary signatures during outside of session times at the Legislature.

Thank you.

Your information

Honoree Information

Information for Eagle or Gold Recipients (leave blank if not applicable)