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* = Required
* 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...
Language English French
Mail the Certificate to the person requesting the certificate to the couple receiving the certificate
* Spouse Name Mr. Mrs. Ms. Miss
* Address
* City/Town ON AB BC MB NB NL NT NS NU PE PQ SK YT
* Postal Code
We do not normally issue certificates outside of Niagara region. Provide an explanation on the couple's connection to this region.
* Your Name --- Mr. Mrs. Ms. Miss
* Phone xxx-xxx-xxxx Ext.
* Email
Comments
Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.
Freedom of Information
Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email foi@niagararegion.ca or call 905-980-6000 ext. 3779.