Form Centre

2. Milestone Type
   Wedding Anniversary or Birthday
3. Milestone Date
   Milestone Date
5. Which Milestone Is It
   i.e. 100th Birthday
6. Requestor's Name
8. Requestor's Address
9. Requestor's Phone Number
11. Recipient's Name
12. Recipient's Phone Number
14. Recipient's Address
15. Delivery
    Requestor to pick up from administration, or to receive by mail
17. Special Comments or Expectations from the Mayor
    i.e. to attend event, or to attend event and speak
19. Submit the form or print and email it to the Mayor's office or fax it to 604-541-9348.
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

* indicates a required field