Receive a Letter/Certificate from the Mayor Form

Certificate Information

What occasion is being celebrated? (Anniversary, Birthday)

Name of celebrants:

Actual birthday / anniversary date:

Date of celebration:

Age or anniversary number:

Address of celebrants:

City/Town:

Province:

Postal code:

Submitter's Contact Information

Name:

Address:

City/Town:

Province:

Postal code:

Phone:

Email:

Delivery / Pick up Information

Send congratulations to:

Celebrant

Contact

Pick up from Mayor's office

Deliver no later than:

Remarks / Questions

Release Information and Privacy

Personal information on this form is collected under the authority of Section 11 of the Municipal Act, 2001 and will be used by the Town of The Blue Mountains to recognize significant anniversary or business milestone. Questions about this collection should be directed to the Town Clerk or by phone at 519-599-3131 extension 232.

I agree to release this information to the Town of The Blue Mountains.

Contacts

Town of The Blue Mountains Clerks Department

Town of The Blue Mountains
32 Mill Street
Thornbury, ON
N0H 2P0

Email: townclerk@thebluemountains.ca
Phone: 519-599-3131
Toll-Free: 1-888-258-6867
Fax: 519-599-7723

For other congratulatory certificates contact:

Member of Federal Parliament Terry Dowdall, M.P. Simcoe - Grey

Constituency Office
503 Hume Street, Suite 4
Collingwood, Ontario L9Y 4H8
Email: terry.dowdall@parl.gc.ca
Phone: 705-445-5557
Fax: 705-445-5155

Member of Provincial Parliament Jim Wilson, M.P.P. Simcoe - Grey

Constituency Office
50 Hume Street
Collingwood, Ontario L9Y 1V2
Email: jwilson@ola.org
Phone: (705) 446-1090
Toll Free: 1-800-268-7542
Fax: 705-446-3397

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