Birthday & Anniversary Greetings

Upon request, the Mayor will provide greetings to Port Coquitlam residents:

celebrating birthdays of 75 years and up (in five-year increments, e.g. 80, 85)
celebrating wedding anniversaries of 40 years and up (in five-year increments, e.g. 45, 50)

To submit the request, complete the form below or send the details in writing to:

Mayor’s Office, Port Coquitlam City Hall
2580 Shaughnessy St., Port Coquitlam BC
V3C 2A8
[email protected]

Name of Celebrant(s)

As should appear on the certificate.

Celebrant's Email

Celebrant's Phone

Address

Unit

City/Town

Province

Postal Code

Occasion

Birthday

Anniversary

Other

Number of Years

Must be 75+ for birthdays and 25+ for anniversaries.

Date of Birthday or Anniversary

(eg. March 7, 1913)

Will there be a celebration event?

Yes

Date of Celebration

(eg. March 7, 1913)

Mail greetings to...

If different from celebrant's contact information.

Are you the celebrant?

Yes, I am requesting greetings for myself

No, I am requesting greetings for someone else

Requestor's name

Requestor's Email

Requestor's Phone

Requestor's Address

Unit

City/Town

Province

Postal Code

Any other requests or comments?

Personal information entered on this form is collected under the authority of Section 26(c) of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purposes of processing your input. If you have any questions or concerns about the collection of this information, please contact the City’s Records and FOIPPA Administrator at 604.927.5250 or [email protected].

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