100th Birthday Certificate Request

100 years is no small feat! For residents approaching their 100th birthday we would like to offer a certificate to commemorate this very special day. 

Please fill out the form below to request a certificate, either for yourself or on behalf of a friend or loved one. 

*Please submit your request no more than 3 weeks prior to the recipient's birthday to ensure that we can create their certificate in a timely manner*

 

1 Start 2 Complete

Are You Requesting a Certificate for Yourself?

Yes

No, on behalf of a friend or relative

Please Provide a Name for the Certificate

When is the Recipient's Birthday?

How Would You Like to Receive the Certificate?

By Mail

By Email

Both Mail and Email

Please Provide Your Mailing Address Including Postal Code and Unit Number if Applicable

Please Provide Your Email Address

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