Invite Jane To An Event
Request A Certificate
Request A Meeting
Invite Jane To An Event
Request A Certificate
Request A Meeting
REQUEST A CERTIFICATE
MPP Jane McKenna offers congratulatory certificates for residents in Burlington celebrating a significant anniversary, birthday or other special occasion. To request a certificate, please complete and submit the form below.
Contact Details
Contact Person (person requesting certificate) *
Mailing Address *
Postal Code *
Telephone *
Email *
Certificate Details
Name of Person/Organization on Certificate *
Purpose of Certificate *

Requirements
Date Certificate Needed *
  
How would you like to recieve the message? *
 
* indicates required fields.
Our Constituency Office can make arrangements for special certificates from MPP Jane McKenna and from the Premier and Lieutenant Governor of Ontario. Please note we require six (6) weeks notice from the date you require the certificate to complete your request - two (2) weeks for certificates from Jane. The personal information you provide is governed by the Freedom of Information and Protection of Privacy Act, and will be used to contact you in regards to your feedback and to keep you informed from time to time on activities affecting residents in Burlington. If you have any questions or concerns regarding the collection and retention of personal information, please contact 905.639.7924, 472 Brock Avenue, Suite 104 Burlington, ON L7S1N1.
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