Request for Certificate (Wedding Anniversary)

On request, the Premier sends congratulatory certificates celebrating significant wedding anniversaries.

Congratulatory certificates are available for 50 years and up and in 5 year increments.

To ensure on-time delivery, we ask that you submit your request at least six weeks before the event date.

Wedding Anniversary

Wedding Anniversary *

Date of Anniversary *

Date of Celebration

Celebrants

Title *

Mr.
Ms.
Mrs.

Title *

Mr.
Ms.
Mrs.

Name *

First

Middle

Last

Name *

First

Middle

Last

Mailing Address

Address *

City / Town *

Province / Region *

Postal Code *

Requested by

Name *

First

Last

Address *

City / Town *

Province / Region *

Postal Code *

Country *

Phone *

Phone (secondary)

Email *

Delivery Instructions

Send message to: *

Celebrant
Requestor

We are collecting personal information on this form for the purpose of issuing a certificate to recognise a significant birthday or anniversary. This information is collected under the authority of section 61(c) of the Access to Information and Protection of Privacy Act, 2015. If you have any questions, please contact the Office of the Premier at 729-3570.

Name