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Centre Wellington Chamber of Commerce

2018 Awards of Excellence Application Form

Cultural / Arts / Tourism Impact Award

Tell us how this individual, group, organization or business made a significant contribution to Center Wellington’s cultural, arts or tourism activities and impact. 

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Nominee Information

Name of Nominee (Business if applicable): [nominee_businessName]
Contact Name: [nominee_contactName]
Address: [nominee_address]
Phone Number: [nominee_telephone]
Fax Number: [nominee_fax]
Email: [nominee_emailAddress]
Number of Employees: [nominee_employees]
Year Business Established: [nominee_yearEstablished]
Is the nominee aware of this nomination? [nominee_nomineeAware]
   

Nomination Submitted By:

Name: [nominator_name]
Address: [nominator_address]
Telephone Number: [nominator_telephone]
Fax Number: [nominator_fax]
Email: [nominator_emailAddress]
Submission of this form implies an acknowledgement that the information on this form is, to the best of my knowledge, complete and accurate.

 

Nomination Information

Nominee:
  [nominee]
Tell us how this individual, group, organization or business made a significant contribution to Center Wellington’s cultural, arts or tourism activities and impact. 
  [long_question_1]
 
 canadian= Ontario Chamber of Commerce     Accessibility Works 2014

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