Congratulatory Certificate Request Form

The Municipality of Trent Hills provides Congratulatory Certificates recognizing milestone birthdays, anniversaries and business openings/anniversaries.

Name of Recipient(s):

Address of Recipient(s)

Who will the Congratulatory Certificate be presented to:

Individual(s)

Business or Organization

Request made by:

Primary Telephone Number:

Extension:

Secondary Telephone Number:

Extension:

Email Address:

Would you like a member of council to

Personally present the certificate

Be advised of the celebration

Neither

Special Comments or Additional Details:

Congratulatory Certificates may also be requested from:

Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protectin of Privacy Act, and will be used for the purpose of creating a Congratulatory Certifficate. Questions about this collection should be directed to the Freedom of Information Coordinator, Municipality of Trent Hills, 66 Front Street South, PO Box 1030, Campbellford, ON K0L 1L0