Birthdays
Wedding anniversary
Anniversary of religious vows or ordination
Anniversary of an organization
Request for certification on the occasion of military retirement
Choose the grade* :
Please carefully verify the accuracy of the spelling, including accents, uppercase and lowercase letters, and spacing, as the information provided will be reproduced in full and without modification on the certificate.
First name* :
Last name* :
Post Nominals :
Date of birthday :
Date of wedding :
Date of pronouncement of vows :
Date of foundation :
Official retirement date :
The document is required on :
Presentation date :
Person being celebrated
First person
Organization being celebrated
Other* :
Please carefully verify the accuracy of the spelling, including accents, uppercase and lowercase letters, and spacing, as the information provided will be reproduced in full and without modification on the certificate.
First name* :
Last name* :
Name of the organization* :
Second person
Other* :
First name* :
Last name* :
Mailing address to which the message will be sent
Mailing address to which the message will be sent
Other* :
First name* :
Last name* :
Title/position :
Role* :
Organization :
Military unit* :
Civic number* :
Street name* :
Apartement :
Apartment or office :
Municipality* :
Province* :
Alberta
British Columbia
Prince Edward Island
Manitoba
New Brunswick
Nova Scotia
Nunavut
Ontario
Quebec
Saskatchewan
Newfoundland and Labrador
Northwest Territories
Yukon
Outside Canada
Phone number (day)* :
Extension number :
Email* :
Contact person submitting the request
Information about the requestor
Other* :
First name* :
Last name* :
Role* :
Numéro de téléphone (jour)* :
Extension number :
Email* :
Verify the email
Resend the email
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Comments or questions :