Marriage Certificate Order Form Please accurately fill out all necessary information below Fax w/ copy of photo id. to 416-962-2968 Click here to go to main page NOTE : THIS FORM IS NOT SENT ONLINE. IT MUST BE FAXED OR MAILED. MAILING ADDRESS (Please fill out all including postal code) Name: Mailing Address: Address Con't: City & Provvince: Postal Code: Daytime Telephone: E-mail: Relationship to Person Named:Reason Certificate is Required Signature:___________________________________________________ Date: MARRIAGE CERTIFICATE (Please fill out all to order marriage certificate) Full Name of Groom:   Birthplace Full Birth Name of Bride:   Birthplace Date of Mariage: Place of Marriage: Province: Certificate Requested Choose One Large Small Photocopy Choose One: Rush Delivery Regular Number of Copies Name on Credit Card: Credit Card Number*: Expires Choose One Visa Mastercard Signature:___________________________________________________ Date: I certify that all of the above information is true and correct to the best of my knowledge and I have a legal claim to the above document. I authorize the operators of Canadian Birth Certificate. Com or their representative to obtain my certificate for me Please note any special instructions for order below. We thank you for your business ! Please contact us anytime with questions or concerns. * FOR RUSH DELIVERIES: You must list a physical street address (no APO's, FPO's, or P.O. Boxes) Fax to: 416-962-2968* If you wish to charge your shipment on a Discover or American Express, put all your credit card information in the special instructions section. . All Sales Final, No Debit Cards Accepted.Process times may vary based on workload of state agencies. I understand that Canadian Birth Certiificate.Com is not responsible for any service performed by any overnight courier service or goverment agency. I understand that Canadian Birth Certificate. Com can not control the procees time by individual agencies.