Request a Congratulatory Message

I can help you apply for a congratulatory message for yourself or someone else who is about to celebrate a significant birthday or wedding anniversary. Please fill in the following form to make a request.

Your Name*:
Your Email*:
Your Phone Number*:
Your Address*:
Name of Person(s) celebrating anniversary/birthday (including title):
Occasion (please choose):
50th Wedding Anniversary
60th Wedding Anniversary
90th Birthday
100th Birthday
Other (Please specify)
Person(s) home address:
Address where messages are to be sent:
Date which messages are to arrive:
Supporting documentation (choose one):
Will upload a scan of marriage/birth certificate using the browse button below
Will post a Copy of marriage/birth certificate to PO Box 10415, Kalgoorlie WA 6430
Will hand deliver a Copy of marriage/birth certificate to 345 Hannan Street, Kalgoorlie
Supporting Documentation Uploader:
Message (if required):

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