Legislative Assembly of Alberta
Legislative Assemby of Alberta

Congratulatory Certificates

Order Form
Anniversary Certificate - Step 1
Anniversary scroll information
Date required
*
(One month's notice required.)
Enter the celebrants' names as they should appear on the scroll.
If required, line 2 can be used.
Please use 'and' instead of '& '
eg. John and Mary Smith
Line1
*
(27 characters including spaces)
Line2

(27 characters including spaces)
Occasion
*
Month
*
Day
*
Year
*
Celebrant address
Address 1
*
Address 2
City
*
Province
Postal Code
*
(in upper case e.g., T5K 1E7)
Country
*required fields
The information collected in this Certificate order form is solely for the purpose of preparing the congratulatory Certificate (section 33(c)) of the Freedom of Information and Protection of Privacy Act). The information may only be provided to another party in conjunction with the preparation of the congratulatory Certificate. For questions concerning Certificate orders, contact scrolls@assembly.ab.ca.