The City of Delta is pleased to provide residents with a message of congratulations when celebrating a special occasion! Congratulatory certificates are available for a Wedding Anniversary (25 years and up, at 5 year intervals), a Birthday (65 years and up, at 5 year intervals), and a Retirement.Please complete this form to request a certificate in honour of these milestones. Your request must be submitted at least two (2) weeks prior to your event. Type of Occasion Milestone Birthday Milestone Wedding Anniversary Retirement Other If Other, please indicate If occasion is Retirement, please indicate workplace Date of Achieved Milestone Milestones in Years (# of years celebrating) Recipient(s): Name(s) First Middle Last Address Address City/Town Province ZIP/Postal Code Certificate of Recognition Method of Delivery Pick Up at City Hall Mail to Recipient's address Mail to Requester's addressRequester: Name(s) First Middle Last Address Address City/Town Province ZIP/Postal Code Email Address Phone Number Additional Information or CommentsDisclaimer/Privacy Statement: I (we) agree and hereby acknowledge that the personal information collected on this form is collected with my(our) consent in accordance with Section 27 of the Freedom of Information and Protection of Privacy Act. I Agree CAPTCHA
