Congratulatory Messages

Congratulatory Messages
To allow us to handle your request effectively, please answer the following questions.

To ensure on-time delivery, we ask that you submit your request at least four weeks before the event date.
Congratulatory Birthday certificates are available for 65th Birthdays and up (at 5-year intervals).

Congratulatory Wedding Anniversary certificates are available for 25th Wedding Anniversaries and up (at 5-year intervals).
Requested By

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Primary)

Area CodePhone Number
Phone Number (Secondary)

Area CodePhone Number
Email
example@example.com
Deliver Message to
Are you celebrating a Birthday or Wedding Anniversary

BirthdayWedding Anniversary
Date of Birthday

MonthDayYear
Date
Milestone Birthday being Celebrated
Recipient's Name

First NameLast Name
Recipient Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Anniversary

MonthDayYear
Date
Milestone Anniversary begin Celebrated
Date of Celebration

MonthDayYear
Date
Recipient #1 Name

First NameLast Name
Recipient #2 Name

First NameLast Name
Recipient's Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Information

Personal information collected from applications is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, and will be used to issue a certificate and contact the requester if additional information is required. Questions about the collection of information should be directed to the Clerk at 75 George Street, PO BOX 340, Lanark, Ontario, K0G 1K0 or by phone at 613-259-2398 or by email at clerk@lanarkhighlands.ca.
Should be Empty: