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The Mayor's Office is pleased to provide a congratulatory letter or certificate to Burlington individuals, organizations, and businesses celebrating a milestone birthday, anniversary, opening of a business, or another significant achievement. Please provide the information below including your contact information to ensure that we can reach you. Please double check your information for accuracy. Please allow up to 4 weeks for letters or certificates to be prepared.

Personal information contained on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25 and will be used for the purposes of administering your request for a congratulatory letter. Questions about this collection should be directed to the Administrative Associate to the Mayor, 426 Brant Street, P.O. Box 5013, Burlington, Ontario, L7R 3Z6 T: 905-335-7600 ext. 7689 E: COB@burlington.ca

Recipient(s) Names as you wish them to appear: