Celebratory message request

Use this form to have a message sent from Mayor and Council for a special occasion like a birthday, anniversary or retirement electronically or by mail.

Please allow adequate time for processing and the postal service to deliver.

Date needed by

Message to be sent by

Mail

Electronically

Both

Type of event

(birthday, retirement, etc.)

About the recipient

Recipient name (first, last)

Recipient full address or email address

Is this to be sent directly to the recipient

Yes

Requestor contact information

Contact name

Contact Address (this is where the letter will be sent by mail if requested)

Contact Email Address (this is where the letter will be sent by email if requested)

Contact phone number

Brief explanation of purpose of the letter requested

Personal information contained in this form is collected under Section 26 (c) of the Freedom of Information and Protection of Privacy Act and will only be used for the purpose of processing your special occasion request. If you have any questions about the collection or use of your personal information, please contact the Privacy Team at foi@esquimalt.ca or 250-414-7177. 250-414-7135. More information can be found through our privacy policy.

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