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Congratulatory Greetings
Request Congratulatory Certificate
Your Title & Full Name:
Your Email:
Your Phone Number:
Birthday
Anniversary
Other
Title & Full Name of Birthday Celebrant (if different than above):
Celebrant is turning __ years old:
Date of Birth:
Titles & Full Names of Anniversary Celebrants:
Celebrating __th Wedding Anniversary:
Anniversary Date:
Title/s & Full Name/s of Celebrant/s:
Type of Event:
Event Date (or preferred deadline for delivery of certificate):
Mailing Address for Certificate:
Postal Code:
City:
Additional Comments about celebrant and/or event: