Request a Certificate for a Special Occasion

Home Council Request a Certificate for a Special Occasion

Certificate Requests

You may request a certificate signed by the Warden to celebrate a special occasion such as a birthday or anniversary.

Certificate Information

Recipient Name(Required)

First Last

Company Name (if applicable)

Company Name

Type of Event(Required)

If you have chosen "Other" as the event type, please specify:

Specific Wording(Required)

I.e. 70th Birthday, 25 years in business

Date of Event(Required)

Requestor's Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Distribution Options

How would you like to receive the certificate?(Required)

I would like to be notified when the certificate is available for pick up at 30 Centre St, Orangeville ON.

I would like the certificate to be sent via regular mail to the address provided above.

I would like the certificate to be sent via Purolator to the address provided above.

Please allow 10 (ten) business days for processing.

Information Collection

Personal information on this form will be used for the purposes of creating a special certificate, pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, as amended. Questions about this collection should be directed to the Clerk 519- 941-2816 ext. 2504.

CAPTCHA

We use cookies