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Mayoral Certificate Request

  1. WHO IS REQUESTING THE CERTIFICATE?

    (You can request a certificate for yourself)

  2. WHO IS THE PERSON TO RECEIVE THE CERTIFICATE?

    (Must be a resident of Garden City, Michigan)

  3. (if applicable)

  4. (preferred name to appear on certificate)

  5. Date to appear on the Certificate

  6. Member of Clergy Anniversary*

  7. Veteran Retirement*

  8. Garden City Logo

  9. Mailing Instructions*

    To whom should the Certificate be sent?

  10. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  11. By signing my name below electronically, I agree to release this information to the City of Garden City, Michigan.

  12. Leave This Blank:

  13. This field is not part of the form submission.