Congrats

Request a Congratulatory Message

Residents of the Port Macquarie Electorate celebrating a special birthday, wedding anniversary or achievement can receive a personal letter of congratulations from me.

Please complete the form below to make your submission. You will need to provide documentary evidence in the form of a Marriage/Birth Certificate or Statutory Declaration.

You can download a free Statutory Declaration by clicking here.

Congrats

Type of Celebration

50th Wedding Anniversary

60th Wedding Anniversary

70th Wedding Anniversary

90th Birthday

100th Birthday

Other

If Other, please specify

Recipient 1 Title:

Recipient 1 First Name:

Recipient 1 Surname:

Recipient 2 Title (If Anniversary)

Recipient 2 First Name:

Recipient 2 Surname:

Address Line 2:

Suburb/Town:

State:

Postcode:

Date of Marriage/Birth:

This Year's Date of Anniversary/Birthday:

Nominee First Name:

Nominee Surname:

Nominee Phone/Mobile:

Delivery Address Line 1:

Delivery Address Line 2:

Delivery Suburb/Town:

Delivery State:

Delivery Postcode:

Nominee Email:

Supporting Evidence: (Please note, if you are not uploading Marriage/Birth Certificate or Statutory Declaration here, you will need to send a copy to the office before this request can be processed)

Upload File

Other Comments:

Get in touch

Congrats

Request a Congratulatory Message

Congrats

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