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

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Certificate and pin Application Form

Application for Certificate (Pins)

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:

10 Years

15 Years

20 Years

25 Years

30 Years

35 Years

40 Years

45 Years

50 Years

55 Years

60 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

Email

Enter Email Confirm Email

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

Application for Certificate (Pins)

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:

10 Years

15 Years

20 Years

25 Years

30 Years

35 Years

40 Years

45 Years

50 Years

55 Years

60 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

Email

Enter Email Confirm Email

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

Society of Saint Vincent de Paul National Council of Canada
2463 Innes Road
Ottawa, ON K1B 3K3

Tel: (613) 837-4363
Toll-free: 1-866-997-7787 (1-866-997-SSVP)

E-mail: national@ssvp.ca

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About
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Our Impact
Your Community
Need Help? Old
Find a store
Contact

About
Ways to Help
Our Impact
Your Community
Need Help? Old
Find a store
Contact

Donate

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Charitable Registration Number: 132410671 RR0001

Privacy Policy

The SSVP National Council acknowledges the location of its office on the traditional, unceded territories of the Anishinabe Algonquin nation. In doing so, we acknowledge our responsibility to the Algonquin people and a responsibility to adhere to Algonquin cultural protocols.

Notice – Trademark / Copyright

The trademarks SOCIÉTÉ DE SAINT-VINCENT DE PAUL, SOCIETY OF SAINT VINCENT DE PAUL, SSVP, CONFÉRENCE DE LA SOCIÉTÉ DE SAINT-VINCENT DE PAUL, CONFERENCE OF THE SOCIETY OF SAINT VINCENT DE PAUL, the motto SERVIENS IN SPE and the fish design (SSVP logo) shown in this document are trademarks of the International Confederation of the Society of Saint Vincent de Paul (“SSVP Global”), and used in Canada by Society of Saint Vincent de Paul – National Council of Canada (“SSVP Canada”) pursuant to a licence granted by SSVP Global. Unless otherwise indicated, the content of and the materials available from this document are protected by copyright and the intellectual property rights, pursuant to Canadian and international laws, of SSVP Global and SSVP Canada, as the case may be. All rights reserved. Any use or reproduction not authorized in writing by SSVP Global and SSVP Canada, as the case may be, is prohibited.