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Marriage Certificate Request Form - Vital Certificates

Marriage Certificate Request Form - Vital Certificates

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<strong>Marriage</strong> <strong>Certificate</strong>AuthorizationBy signing this authorization, you are permitting Express Legal to request your <strong>Certificate</strong> of<strong>Marriage</strong>. Your certificate will be sent to you directly from the government agency. Acompletedand signed authorization must be provided.I, ___________________________________, hereby authorize Express Legal to request(Type/Print Name)one or more <strong>Certificate</strong>s of <strong>Marriage</strong> from the New Brunswick <strong>Vital</strong> Statistics Agency on mybehalf. I am a person who is the subject of the certificate.Date: __________________________Signature: ______________________________Toll Free Telephone: 1.866.828.9680 Toll Free Fax: 1.866.265.6300 Email: support@expresslegal.caExpress Legal, 79 - 622 Front Street, Nelson, BC, Canada V1L 4B7

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