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Required fields are marked with asterisks (*)

Scroll Request Form

Please note:

Scrolls are available for pick up, mailed out, or presented by the Mayor or member of Council.
Two weeks notice is required prior to the date the celebratory scroll is required
Scrolls are only issued to Thunder Bay residents and businesses
Mayor provides the following congratulatory messages:
- Birthdays - 75th (and every five years thereafter)
- Wedding Anniversaries - 1st, 25th, 40th, 50th, 60th, 75th
- Business Anniversaries - 1st, 25th, 40th, 50th, 60th, 75th
- Grand Openings
* indicates the mandatory fields. Please complete ALL fields that apply.

DATE OF OCCASION

(mm/dd/yyyy)

RECIPIENT(S)

First Name:

Last Name:

For wedding anniversary scroll, please fill in these fields.

Second Recipient First Name:

Second Recipient Last Name:

Address:

Apt. No:

Postal Code:

SCROLL

Occasion Type

Wedding Anniversary

Birthday

Business/Organization Anniversary

Occasion Years:

Celebration Date: (if different from Occasion date)

REQUESTOR

E-mail Address:

First Name:

Last Name:

Telephone Number:

DELIVERY

Please indicate the method of delivery:

Pick Up at City Hall (500 Donald St. East)

Mail

Presentation by a Member of Council

MAIL TO (IF DIFFERENT FROM RECIPIENT'S ADDRESS)

First Name:

Last Name:

Address:

Apt. No:

Postal Code:

NOTES & SPECIAL INSTRUCTIONS

Please List Additional Comments/Details Here:

Letters of greeting/message from the Mayor are issued at the discretion of the City of Thunder Bay. To request a Mayor's greeting/message visit the Invite the Mayor page.

The personal information on this form is collected under the authority of the Municipal Act, 2001 [Section 226.1] and will be used solely to inform the City Clerk and Mayor’s Office(s). Questions about the collection of this information should be directed to the Office of the City Clerk, 500 Donald St East, 625-2230.

City Thunder Bay
Office of the City Clerk

Address: P.O. Box 800, Thunder Bay ON, P7E 5V3
Tel: (807) 625-2230
Fax: (807) 623-5468