Congratulatory Certificates
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Celebration Details
1.
Celebration Type:
*
--Please Select--
Birthday (80 years or more)
Wedding Anniversary (50 years or more)
Anniversary of a Private Company (50 years or more)
Anniversary of Non-Profit Service or Social Club or Religious Group (25 years or more)
Retirement (25 years or more)
Other (Please specify)
Celebration Type:
2.
Birthday/Anniversary/Years of Service:
*
(e.g. 86th birthday)
3.
Date of birthday/anniversary or retirement:
*
yyyy/mm/dd
4.
Date of Celebration:
*
yyyy/mm/dd
Celebrator
5.
Language:
*
English
French
6.
Please Specify:
*
Mr.
Mrs.
Ms.
Mr. & Mrs.
Other, please specify
7.
First Name(s):
*
8.
Last Name(s):
*
9.
Company Name (if appropriate):
Requested by
10.
First Name:
*
11.
Last Name:
*
12.
Title:
*
Mr.
Mrs.
Ms.
Miss
Other
Other, please specify
13.
Address:
*
14.
City:
*
15.
Province:
*
16.
Postal Code:
*
17.
Telephone 1:
*
18.
Telephone 2:
19.
Fax:
20.
E-mail:
