Platinum Jubilee Nomination Form
Do you know someone who has made a difference in Etobicoke-Lakeshore?

We are taking nominations for local community leaders and volunteers to receive limited edition pins in honour of Her Majesty Queen Elizabeth II's Platinum Jubilee!

To nominate someone please leave your and their contact information and a brief description of their activities that you feel make them stand out as a positive change maker in our community.

Nominations have now closed. The nomination form will be sent out only upon request. 
Please let my office be aware of any nominations submitted after November 1, 2022.
james.maloney@parl.gc.ca 
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Your Name: *
Your Phone Number: *
Your Email Address: *
Your Home Address: *
Name of Nominee: *
Their Phone Number: *
Their Email Address: *
Their Home Address (must be in Etobicoke-Lakeshore): *
Reason for Nomination: *
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The deadline for nominations is September 15th, 2022.
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