Congratulatory Scrolls

I'd be happy to send a greeting for a wedding anniversary, birthday or other important event.
Please use the form below for Birthdays (80+) and Weddings (40+).

For business anniversaries, non-profit anniversaries, retirements and other events please email or phone the constituency office.

Please fill in the form below to request your certificate. All mandatory fields are marked *. The Premier requires three weeks notice and the Lieutenant-Governor requires six weeks notice.

Messages are also available from the federal government (HM the Queen, the Governor-General and the Prime Minister). Please contact Peter Van Loan, MP for details at www.petervanloan.com.



Celebrant Information

Name of Celebrant:*

 (exactly as it should appear on message)

Age/Years Married:*

Date of Upcoming Birthday/Wedding:*

  /   /  (mm/dd/yyyy)

Celebration Date:*

  /   /  (mm/dd/yyyy)
Requestor Information

Name:*

Daytime Phone:*

Fax:

E-mail:

Send Certificate to:*

 Requestor  Celebrant 
Mailing Address (Where certificate is to be sent)

Name:*

Address:*

City:*

Province/State:*

Country:*

Postal Code/Zip:*

This is a:*

 New request  Correction 
Would you like a greeting from the Premier?

(birthday 80+)
(anniversary 40+) 

Yes  No 


Would you like a greeting from the Lieutenant-Governor?

(birthday 90+)
(anniversary 50+) 

Yes  No 
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