Fill out and submit this form for congratulatory messages and certificates. Please ensure that you have read the qualifiers for each message type before submitting. Please note that this online form is only for use by residents within the constituency. Personal messages of congratulations are available for the Birthdays and Anniversaries listed below: Birthdays 65th and over - message from the Prime Minister 90th and over - message from the Governor General 100th and every 5th year thereafter - message from Her Majesty The Queen (copy of birth certificate must be submitted to our office) Wedding Anniversaries 25th and over - message from the Prime Minister 50th and over - message from the Governor General 60th and every 5th year thereafter - message from Her Majesty The Queen (copy of marriage certificate must be submitted to our office)

Certificate Type

Please select below, the type of message/certificate you wish to submit.

Her Majesty The Queen:

Anniversary: 60+ Birthday: 100+ 8 weeks notice required (certificate required - see above)

Governor General:

Anniversary: 50+ Birthday: 90+ 6-8 weeks notice required

The Prime Minister:

Anniversary: 25+ Birthday: 65+ 6 weeks notice required

The Member of Parliament:

Any special anniversary or birthday. 6 weeks notice required

Occasion

Select: * select...BirthdayAnniversary

Age or Years: *

Date of Anniversary or Birthday: *

Date of Occasion: *

Message/Certificate Recipient

Please fill out the information below for message/certificate recipient:

Title: * select...NoneMr.Mrs.Miss.Ms.Mr. & Mrs.Mr. & Ms.Dr.Dr. & Mrs.Dr. & Mr.Prof.Prof. & Mrs.Prof. & Mr.CouncillorMayorReverendRabbi

Please select a title for the recipient(s) from the list above.

First Name: *

Last Name: *

First Name of Spouse:

Address:

City:

Phone Number:

Province:

Postal Code:

Requested By:

Title: * select...NoneMr.Mrs.Miss.Ms.Mr. & Mrs.Mr. & Ms.Dr.Dr. & Mrs.Dr. & Mr.Prof.Prof. & Mrs.Prof. & Mr.CouncillorMayorReverendRabbi

Please select a title for the recipient(s) from the list above.

First Name: *

Last Name: *

Address: *

City: *

Province: *

Postal Code: *

Phone Number: *

E-Mail Address: *

Where Message/Certificate should be sent?

Select: * select...RequesterRecipientOther Address

Other Name:

Other Address:

Other Province:

Other Postal Code: