Application for Alberta Birth Certificate - VitalCertificates.ca
Application for Alberta Birth Certificate - VitalCertificates.ca
Application for Alberta Birth Certificate - VitalCertificates.ca
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<strong>Birth</strong> <strong>Certifi<strong>ca</strong>te</strong>AuthorizationRegistryConnect10237 – 104 St.Edmonton,ABT5J 1B1Towhomitmayconcern,RE:<strong>Appli<strong>ca</strong>tion</strong><strong>for</strong><strong>Birth</strong><strong>Certifi<strong>ca</strong>te</strong>I, _________________________________________ authorize David Shelly, to obtainone or more(provide full name)birthcertifi<strong>ca</strong>te(s). I am the person, or parent of the person, who is the subject of the certifi<strong>ca</strong>te.My home address is:Address: ___________________________________________ Apartment: _______City: _________________________ Prov./State: _________________________Postal/Zip Code: _______________ Country: _________________________My home phone number is:(______) ________________________Pleasehavemycertifi<strong>ca</strong>te(s) senttomyhomeaddress.Sincerely,Date: ____________________Signature: ________________________________(signature must be provided)ImportantNote:DonotmailthisauthorizationlettertoRegistryConnect.Please return by one of the following methods:Toll-Free Fax: 1-866-265-6300, S<strong>ca</strong>n & Email: support@expresslegal.<strong>ca</strong>or Regular Mail: Express Legal, 79 - 622 Front Street, Nelson, BC V1L 4B7
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