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Health Registries 2130 11th Avenue Regina Saskatchewan S4P 0J5 Toll Free 1-800-667-7551 Fax 306-787-8951 APPLICATION FOR MARRIAGE CERTIFICATE ORDER DETAILS Please read instructions carefully and print clearly. Applicant s First Given Name Mailing Address - Apartment - Street - Street Name - P. O. Box City/Town/Village/Other 30 Telephone - Home Province/State Work Method of Delivery Requested Cell Applicant s Relationship to Person Named on Certificate Daughter Son Payment Method CANADIAN...

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2130 11th Avenue Regina is a physical address located in Regina, Saskatchewan, Canada.

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