Congratulatory Messages

Please fill in the form below to request a congratulatory message.

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Name(Required)

First Last

Email(Required)

Phone(Required)

Your Address(Required)

Street Address City State Post Code

Occasion (please choose)(Required)

50th Wedding Anniversary

60th Wedding Anniversary

90th Birthday

100th Birthday

Other

Date of Anniversary/Birthday(Required)

Name of Person celebrating anniversary/birthday (including title)(Required)

Person Home Address(Required)

Street Address City State Post Code

Address where messages are to be sent(Required)

Street Address City State Post Code

Date when messages are to arrive(Required)

Supporting documentation (choose one)(Required)

Will post statutory declaration to PO Box 40, Kingsway WA 6065

Will hand deliver statutory declaration or original documentation to Unit 2, 91-97 Wanneroo Road Greenwood WA 6024

Will attach in a single document (.doc,.pdf) below

Attach Document (If required)

Accepted file types: jpg, pdf, bmp, gif, doc, Max. file size: 16 MB.

Message (if required)

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