Receive a Centenarian Certificate from National Centenarian Awareness Project (suitable for framing)*	Elsa Hoffmann, 100,  pictured with her son, Gail, received a Centenarian Certificate from National Centenarian Awareness Project and its founder Lynn Peters Adler.
Please include the following: Name of Honoree Mailing Address (include City, State, Zip) Honoree Date of Birth Your Name (as requestor) Daytime phone number and Mailing Address Relationship to Honoree (Son, Daughter, Grandson, Granddaughter, etc.)

Or send your request by email. Simply fill out the following form:
Items marked with an * are required.

*Name of Honoree:

*Address of Honoree:

*City, State, Country, Zip Code:

*Honoree Date of Birth:

*Your Name (as requestor)

*Your Email Address:

*Your Daytime Phone Number:

*Relationship to Honoree:

Your Address:

Your City, State, Zip Code:

Tell us about your centenarian.
Let us know about any hobbies, activities or interests.  

Please consider sending us photos of your centenarian, current and from the past. NCAP has several on-going projects that honor centenarians. To attach a photo to this form, click the "Browse" button and locate the picture on your computer. Select the picture, then click "Open." Click "Send" at the bottom of this page to send this form and your photo.
Attach a photo:

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Privacy Policy: Centenarian information for a Centenarian Certificate
or information for our national registry is kept confidential, unless
specific permission is given by the centenarian and/or family member
on a case-by-case basis, in order to protect the identity of participants
from unwanted solicitation or contacts.