Request Certificate What do you want to commemorate? *Date of CelebrationWho is this certificate for? *I am requesting the certificate for myselfI am requesting the certificate on the celebrant's behalfCelebrant's InformationFirst Name *Last Name *Company/Organization (if applicable)Additional Information (if applicable)Contact InformationFirst Name *Last Name *Street AddressCityProvincePostal CodePhone Number *Email Address *How would you like to receive the certificate? *Pick up at Guelph Constituency OfficeMail DeliverySend Message