Legislative Assembly of Alberta
Congratulatory Certificates
Order Form
Birthday Certificate - Step 1
Birthday scroll information
Date required
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2025
*
(One month's notice required.)
Celebrant's name
*
Enter the celebrant's name exactly as it should appear on the scroll (27 characters including spaces)
Occasion
Select here
65th Birthday
70th Birthday
75th Birthday
80th Birthday
85th Birthday
90th Birthday
95th Birthday
100th Birthday
105th Birthday
110th Birthday
*
Month
Select here
January
February
March
April
May
June
July
August
September
October
November
December
*
Day
Select here
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
Year
Select here
2024
2025
*
Celebrant address
Address 1
*
Address 2
City
*
Province
Postal Code
*
(in upper case e.g. T5K 1E7)
Use postal code format, e.g. T5K 1E4
Country
*
required fields