2023 Annual Awards Nominations 
Please complete this form by Wednesday, November 29, 2023.   
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Name of Person Submitting this Form *
Category *
Name of Candidate *
Full Mailing Address *
Telephone Number *
E-mail *
Nominated By
*
PROVINCIAL ACCOMPLISHMENTS
*
NATIONAL ACCOMPLISHMENTS
*
INTERNATIONAL ACCOMPLISHMENTS
*
ADDITIONAL COMMENTS
*
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