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Celebration Certificate Request

If you are looking for a unique way to celebrate a special life event like a milestone birthday or anniversary, the Mayor will happily sign Special Celebration Certificates on request.

Type of Celebration

Anniversary

Birthday

Other

Number of Years

Name on Certificate

Name of Contact Person (if different than name on certificate)

Email Address of Contact Person

Phone Number of Contact Person

Additional Information:

The electronic version of this form will be emailed to Municipal staff for review. Staff will follow up with the Contact Person to arrange for delivery of the certificate.

If you have completed a physical copy of this form, please submit it to the Municipal Office located at 100 Scott Street, P.O. Box 68, Walkerton, ON N0G 2V0.

Please contact staff at 519-881-2223 if you have any further questions.