Celebratory Scroll Request
MP Doug Shipley is pleased to offer constituents celebratory scrolls to mark a variety of special occasions (birthdays, wedding anniversaries, etc.).

Please complete all required entries below to request a scroll from MP Doug Shipley.
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Your First Name *
Your Last Name *
Your Email *
Your Phone Number *
Recipient's First Name *
Recipient's Last Name *
Recipient's Address Including Postal Code *
What is the occasion? *
When is the occasion? *
MM
/
DD
/
YYYY
Is in-person scroll presentation by MP Doug Shipley requested? *
Other Comments
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