New Birthday Greeting

Note: Dignitaries will only recognize milestone birthdays ending in a zero and in five (e.g. 75ᵗʰ, 80ᵗʰ etc. birthday).

# of Years

Date of birth

Deliver by this date (Greetings are needed by this date)

Celebrant's salutation (Mr., Mrs., Ms., Miss, Dr.)

Celebrant's first name

Celebrant's last name

Celebrant's mailing address (Manitoba residents only)

City

Province

Postal Code

Choice of language

Send message to

Mail directly to the celebrant at the address above

Mail in care of the name and address below:

Requestor's first name

Requestor's last name

Daytime phone (format: 999-999-9999)

Alternate phone

E-mail (Confirmation will be sent to this address.)