Request a Certificate

Fields marked with an asterisk (*) are required
1. Celebrator(s) Info:
Celebrant's Name*:
Address*:
City*:
Province*:
Postal Code*:
Country*:
Telephone:
2. Occasion:
Birthday: Date: Age: rs
Anniversary: Date: Years:
Other:
3. Date of Celebration:
Date*:
4. Send the Greetings to:
Name*:
Mailing Address:
City:
Province*:
Postal Code*:
Telephone*:
Email*:
5. I would like a celebratory message from:
Her Majesty Queen Elizabeth II
xxx.(60 and beyond Anniversaries and 100th and above Birthdays.- Documentation Required)
The Governor - General
xxx.(50th and beyond Anniversaries and 90th and above Birthdays)
The Prime Minister
xxx.(25th and beyond Anniversaries and 65th and above Birthdays)
Rob Nicholson, MP