|
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: |
|
|
|
| |
*Years:
|
75 or more for birthdays. 25 or more
for anniversaries.
|
| |
*Date
of Birthday or Anniversary:
|
| (Example
- November 21, 2001) |
|
|
|
|
|
|
|
|
|
| |
Date
of Reception:
|
|
|
|
|
|
|
|
|
|
| |
|
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
|
|
100th
+ at five year intervals. Proof required
- see note below.
|
|
60th
+ at five year intervals. Proof required
- see note below. |
|
Governor
General
|
|
90
+ |
|
50
+ |
|
Lieutenant
Governor
|
|
90
+ |
|
50
+ |
|
Prime
Minister
|
|
75
+ |
|
25
+ |
|
Premier
of British Columbia
|
|
75
+ |
|
25
+ |
|
Leader
of the Official Opposition of British Columbia
|
|
75
+ |
|
25
+ |
| Recipient's
M.L.A. |
|
75
+
|
|
25
+
|
|
|
Do
you wish to receive Federal messages in French:
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.
|