Form Builder

Required fields are marked with asterisks (*)

Request a Congratulatory Certificate

Name of person submitting the request

Phone Number

Email Address

Full name(s) of the recipient(s)

Type of certificate being requested

Birthday

Anniversary

Number of years (ie. 50th, 80th)

Date of the birthday or anniversary

Recipient's mailing address line 1

Recipient's mailing address line 2

City

How would you like to receive the letter?

Pick Up

By Mail

Would you like the Mayor to present the certificate at an event?

Yes

Confirmation

I hereby confirm that the information provided in this form is true, complete, and accurate to the best of my knowledge.