Required fields are marked with asterisks (*)

Request for Congratulatory Certificate from Mayor

Please complete this form if you would like to request a congratulatory certificate from the Mayor.

All fields are marked with an asterisk(*).

Requestor's Information

Certificate Information

What is the special occasion marking?
 
How would you like to receive the certificate?
 

Privacy statement

Personal information contained in this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), and will be used only for the purposes for which its collection was intended. Questions about this collection should be directed tot eh FOI Coordinator at the Township of Essa.



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