City of Hastings - Birthday Greeting

Birthday Greeting

The Mayor will send birthday greetings to all community residents
celebrating their 100th or greater birthday.

Date of Request:		(00/00/00)
Number of Birthday:		(Example: 100 or 101)
Birthday:
Name of Birthday Person:
Due Date:
Contact Name:
Phone:
Email:
Mail to:		Name
		Address Line 1
		Address Line 2
		City
		State
		Zip
Greeting:
Security Code:	REQUIRED- Please enter the security code (case sensitive):

When this form is submitted it will be electronically sent to the Mayor's Office.
Please submit requests with appropriate notice of three weeks.
You will receive an e-mail confirmation of your request.