Application for certificate and pin - Society of Saint Vincent de Paul

Certificate Information

Need multiple certificates?
To request multiple certificates, complete the information in the template here: Certificate and Pin Application Template and upload it in this section.

Upload Template for multiple certificates

Please use only the template provided.

Max. file size: 50 MB.

Conference or Council Name

(as it should appear on certificate)

Conference or Council City

(as it should appear on certificate)

Name

(as it should appear on certificate)

First Last

Certificate and pin issued in:

English

French

Please select the type of certificate you are requesting:

Past President Recognition Certificate and Pin ($10 + delivery fees)

Member Recognition Certificate and Pin - Years of service ($10 + delivery fees)

Certificate of Appreciation for a member/volunteer/staff ($5 + delivery fees)

Conference/Council Anniversary Certificate ($5 + delivery fees)

Years of presidency:

From:

Years of presidency:

To:

Year of initial membership:

Select the number of years:

Requested delivery date:

Please allow 60 days for processing.

Comments or special instructions:

Payment Information

Payment information:

Already paid via the online boutique

Please send invoice by email

Other

Delivery / Invoice Information

Conference or Council Name and City:

Name

First Last

Address

Street Address Address Line 2 City Province Postal Code Country

Enter Email Confirm Email

Note: Before printing, this Certificate and Pin Application will be sent to the Regional Council President for approval.

Certificate Information

Need multiple certificates?
To request multiple certificates, complete the information in the template here: Certificate and Pin Application Template and upload it in this section.

Upload Template for multiple certificates

Please use only the template provided.

Max. file size: 50 MB.

Conference or Council Name

(as it should appear on certificate)

Conference or Council City

(as it should appear on certificate)

Name

(as it should appear on certificate)

First Last

Certificate and pin issued in:

English

French

Please select the type of certificate you are requesting:

Past President Recognition Certificate and Pin ($10 + delivery fees)

Member Recognition Certificate and Pin - Years of service ($10 + delivery fees)

Certificate of Appreciation for a member/volunteer/staff ($5 + delivery fees)

Conference/Council Anniversary Certificate ($5 + delivery fees)

Years of presidency:

From:

Years of presidency:

To:

Year of initial membership:

Select the number of years:

Requested delivery date:

Please allow 60 days for processing.

Comments or special instructions:

Payment Information

Payment information:

Already paid via the online boutique

Please send invoice by email

Other

Delivery / Invoice Information

Conference or Council Name and City:

Name

First Last

Address

Street Address Address Line 2 City Province Postal Code Country

Enter Email Confirm Email

Note: Before printing, this Certificate and Pin Application will be sent to the Regional Council President for approval.

Name

This field is for validation purposes and should be left unchanged.

Name

First Last

Email(Required)

Preferred Language(Required)

English

French

Are you an active SSVP member?

Yes

Active members: Please enter your Conference or Council Name and City

Certificate and pin Application Form

Application for Certificate (Pins)

Certificate Information

Payment Information

Delivery / Invoice Information

Application for Certificate (Pins)

Certificate Information

Payment Information

Delivery / Invoice Information

Certificate and pin Application Form

Application for Certificate (Pins)

Certificate Information

Payment Information

Delivery / Invoice Information

Application for Certificate (Pins)

Certificate Information

Payment Information

Delivery / Invoice Information

Newsletter Subscription