Anniversary Greetings

Certificate Details

Anniversary # of Years.. 50th 55th 60th 65th 70th 75th 80th

Wedding Date Month... January February March April May June July August September October November December Day... 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

Celebration Date Month... January February March April May June July August September October November December Day... 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 Year... * Optional

Language English French

Mail Certificate

to the Person requesting the Certificate
to the Couple receiving the Certificate

Information about the Married Couple

Spouse Name: Mr. Mrs. Ms. Miss

Spouse Name: Mr. Mrs. Ms. Miss

Address

City/Town ON AB BC MB NB NL NT NS NU PE PQ SK YT  Postal:

Couples Living Outside of Niagara Region

We do not normally issue certificates outside of Niagara region, please provide an explanation on the couple's connection to this Region.

Information about who is Requesting the Certificate

Your Name --- Mr. Mrs. Ms. Miss

Address

City/Town ON AB BC MB NB NL NT NS NU PE PQ SK YT  Postal:

Telephone

Email

Additional Information/Comments * Optional

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Verify your submission by typing the 6-digits you see in the box:

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