1. Recipient Information (Required Information is indicated with a * )
*
Name of Celebrant(s)
As it should appear on certificate
*
Phone:
e.g.250.555.5555
*
Address:
*
City:
*
Postal:
*
Occasion:
Birthday
Wedding Anniversary
*
Years:
75 or more for birthdays. 25 or more for anniversaries.
*
Date of Birthday or Anniversary:
(Example - November 21, 2001 )
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date of Reception:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2.Choose Congratulatory Message(s)
Please
confirm which messages you would like to receive by selecting
the appropriate boxes. For example, a 25 year wedding
anniversary would be eligible for messages from the Prime
Minister, Premier, Leader of the Official Opposition and
the recipient's M.L.A.
Birthday
Wedding
Anniversary
Queen
No
Yes
100th + at five year intervals.
Proof required - see note below.
No
Yes
60th + at five year intervals.
Proof required - see note below.
Governor General
No
Yes
90 +
No
Yes
50 +
Lieutenant Governor
No
Yes
90 +
No
Yes
50 +
Prime Minister
No
Yes
75 +
No
Yes
25 +
Premier of British Columbia
No
Yes
75 +
No
Yes
25 +
Leader of the Official Opposition of British Columbia
No
Yes
75 +
No
Yes
25 +
Recipient's M.L.A.
No
Yes
75 +
No
Yes
25 +
Do you wish to receive Federal messages in French:
No
Yes
Note: Only requests for Congratulatory Messages
from The Queen require proof of birthday (example
- birth certificate) or marriage (example - marriage
certificate). Copies of documents can be sent to
the Protocol
and Events Branch .
3. Requester Information (if different than celebrant)
4. Email Contact and Comments
Reply Email address:
Comments:
The
information on this form is collected under the authority
of the Honours and Awards Program. The information collected
will be used to process congratulatory certificates and
will be disseminated to the official(s) you have indicated
above. If you have any questions about the collection, use
and disclosure of this information, please contact the Greetings
Clerk, Protocol and Events Branch, at 250.387.1616 or by
fax at 250.356.2814.
