Request a Certificate from the Mayor

Please note: The fields marked * are mandatory.
Requestors First Name*
Requestors Last Name*
Requestors Address
Requestors City/Postal Code*
Requestors Phone*
Requestors Email*
Recipient First Name*
Recipient Last Name
Recipient Address*
Recipient City/Postal Code*
Date of Birthday / Anniversary
Date of Celebration
Age / Year being celebrated*
How would you like to receive the certificate?*
Invite your local councillor?*

If yes, what is the name of local councillor?
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*Please type the letters appearing in the image above. Why do I need to do this?

Privacy Statement

The personal information on this form is collected under the authority of the Municipal Act S.O. 2001, c.25. This information will be used to assist with processing a request and/or to address a concern communicated to Mayor Brown.  Questions about the collection of this personal information should be directed to Candace Carter, Office Manager, at 905-874-2000 ext. 42600.