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I would like a certificate for a birthday a wedding anniversary
Mailing certificate toplease include city and postal code
Name
Phone
Alternate phone
Email
I would like to receive the certificate by
Additional comments
Date
Signature I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature.
The information on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act ("the Act") and will be used solely for the purpose of completing a congratulatory certificate from the Mayor. It will be treated in accordance with the privacy protection provisions of Part 2 of the Act.Questions concerning collection of this information can be directed to Legislative Services at 400 Main St. SE, Airdrie, AB T4B 3C3 or at 403.948.8800.