Birthday and Anniversary Message Request Form - PDF - PDF

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Birthday and Anniversary Message Request Form - PDF - PDF Powered By Docstoc
					    TO REQUEST A BIRTHDAY OR WEDDING ANNIVERSARY GREETING

    from the Honourable David C. Onley, Lieutenant Governor of Ontario

               Complete this form and fax it to 416-325-7787 or mail the form to the
      Office of the Lieutenant Governor of Ontario, Queen's Park, Toronto, Ontario, M7A 1A1
        To inquire about greetings, contact the Administrative Assistant at 416-325-7780.



THE GREETING IS FOR:

Last Name ___________________________________             Miss ____ Ms ____ Mr ____ Mrs ____


Given Names ___________________________________________________________________


Address _________________________________________________________ Apt. _________


City __________________________ Postal Code ____________ Tel. (______)_____________


THE OCCASION IS:                                        Date Format: dd-month-yyyy     LANGUAGE
                                                                                          OF
Birthday _______ Age _______ Date of Birth ________________________                    GREETING:
                                                         Date Format: dd-month-yyyy


Anniversary ____ Years ______ Date of Marriage ____________________                    English ____
                                                        Date Format: dd-month-yyyy


Date of Celebration _____________________________________________                      French ____


SEND THE GREETING TO:

Name ________________________________________________ Tel. (______)_____________


Address _________________________________________________________ Apt. _________


City _________________________ Province ___________ Postal Code ____________


Name of Requestor ____________________________________ Tel. (______)______________


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