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Request a Birthday or Anniversary Message from the Mayor

Would you like to have a congratulatory certificate from Mayor Coffin sent to a Kensington resident celebrating a milestone birthday or anniversary?

Please complete the form below and we will ensure that the celebrant(s) receive a congratulatory certificate. We require 1 to 2 weeks for preparation and delivery of your certificate.

1. Celebrant

Title(s) (Mr. Mrs. Ms. Dr. etc.):
Name(s) of celebrant(s):
Address:
City:
Province:
Postal Code:

2. Occasion

Type of Event
Date of birthday or anniversary:
Date required by:
Specify the birthday or anniversary being celebrated:

3. Requester (If requester is not the celebrant)

Requested by:
Telephone:
E-mail:
Town
Chamber
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