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Milestone Certificate Request

The Municipality of Grey Highlands can prepare certificates, on behalf of the Mayor and Members of Council, for Grey Highlands residents celebrating milestone birthdays and anniversaries, both wedding and businesses.

Birthdays are recognized at 65 years and in five-year intervals thereafter
Anniversaries are recognized at 25 years, 40 years and in five-year intervals thereafter

If you would like to print a copy of this form, right click and press print.

You can submit in person at 206 Toronto Street S. Unit 1 Markdale or email to zeggilb@greyhighlands.ca

Requestor's Information:

Name:

Mailing Address:

Phone Number:

Email Address:

Recipient(s) Information:

Name:

Mailing Address:

Milestone Details:

Date of Milestone:

When is Certificate Required:

Nature of Milestone: (80th birthday, 25th wedding anniversary, etc.)

How would you like to receive the certificate?

Pick up

Mail

Mayor Presents

If requesting Mayor or designate present certificate - Please give the details of the event

_____________________________________________________________________________________________________________________________________________

I agree to the following terms

Your personal information is collected under the authority of sections 11(1) and 227 (c) of the Municipal Act, 2001. The personal infortmation will be used by the Municipality of Grey Highlands Staff for responding to your service request. Questions regarding this collection should be addressed to: Municipal Clerk, 1-206 Toronto St. S., Markdale, ON N0C 1H0, 519-986-2811 or clerks@greyhighlands.ca