Congratulatory Messages

Congratulatory Messages Form

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Your Name *

Your Email Address *

Your Phone Number

Your Address

Name of Persons(s) Celebrating anniversary/birthday (including their title) *

Person(s) Home Address

Address where messages are to be sent *

Occasion * 50th Wedding 60th Wedding 90th Birthday 100th Birthday Other Occasion

Date of anniversary/birthday *

Date messages should arrive by *

Supporting documentation upload (we require this for your application to proceed)

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Please upload supporting documents or send to:

Email: stuart.robert.mp@aph.gov.au or post to:

Labrador Office
Location:
1/110 Brisbane Road
LABRADOR QLD 4215

Postal Address:
PO Box 733
BIGGERA WATERS QLD 4216

Tel: 07 5500 5919
Fax: 07 5500 5484