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2. The Town of Slave Lake offers congratulatory certificates for birthdays, anniversaries and other special events:
   Birthdays must be 80 years or over
4. Anniversaries must be 50 years or over
6. Name of person submitting the request*
8. Phone Number*
10. Email Address*
12. Full name(s) of recipient(s)*
14. Type of certificate being requested*

    1. Birthday

    1. Anniversary

    1. Other
16. Number of years (ie. 50th and 80th)*
18. Date of Birthday or Anniversary *
20. Recipient's mailing address*
22. How would you like to receive the letter?*

    1. Pick Up

    1. By Mail
24. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
26. Electronic Signature*
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field