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Congratulatory Certificates

Request a congratulatory greeting for major life milestones. Please complete the form below.

Middle Name:

Contact Person

Title

First Name*

Last Name*

Email*

Phone

Type of Event*

Birthday Wedding Anniversary Business/Organization Launch Business/Organization Anniversary Other Event

Certificates can mark birthdays, anniversaries for couples or organizations, new business launches, and other major milestones.

Birthday Details

Is this the contact person's birthday, or someone else's?

Yes — it's for the contact person It's for someone else

Title

First Name*

Last Name*

Turning (years)*

Date of Birth*

Wedding Anniversary Details

Titles & Full Names of Anniversary Celebrants*

Years being celebrated*

Business or Organization Launch

Business/Organization Name*

Launch details*

Launch Date*

Business or Organization Anniversary

Business/Organization Name*

Years in operation*

Anniversary Date*

Other Event

Recipient of Congratulatory Certificate*

Event Description*

Event Date or preferred delivery deadline*

How would you like to receive the certificate?*

Mail the certificate Pick up at the constituency office Invite Kurt to present it in person

If you choose pick up or an in-person presentation, we will follow up to confirm the arrangements.

Mailing Address

Where should we mail the certificate?

Street Address*

City*

Province/Territory*

Postal Code*

Event Details for an In-person Presentation

If you would like Kurt to present the certificate, please share the event location and key logistics.

Event Street Address*

City*

Province/Territory*

Postal Code*

Event start time*

Ideal arrival window

Event-day contact name

Event-day contact phone

Event-day contact email

Would you like Kurt to say a few words at the event?

Additional comments about celebrant and/or event

Other Greeting Options

Based on the info you provided, it looks like you're also eligible to receive greetings from the Prime Minister. Let us know if you need any help connecting with these programs.

Constituency Office

116-920 Commissioners Rd E London, ON N5Z 3J1

Contact

(519) 685-4411

kurt.holman@parl.gc.ca

Office Hours

Mon–Fri 9:00am–5:00pm Closed 12:00–1:00pm