Certificate or Event Request Form

Welcome

The Mayor will send official greetings to mark significant birthdays, special wedding anniversaries, and other significant special milestones. Congratulatory messages from the Mayor are also available to various organizations marking milestones.

Today’s date:

Actual date of occasion:

Date of celebration/event:

Type of event?

Is this event a surprise?

Yes

Request made by:

Name:

Address:

Phone number:

Email address:

Name(s) of celebrant(s): (Please print full names or how you would like them to appear on the certificate)

Are you requesting the Mayor or a designate present the certificate?

Yes

If yes, please complete details below:

Event location:

Event start time:

Time of presentations:

Other details: (certificate to be picked up, etc.)