PITCH-IN
CANADA
Clean World Award Nomination Form
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Information Required on
Nomination Form
- Nominator's Name
Organization (if applicable)
Address
City
Province/postal code
Tel/Fax/E-mail
- Nomination in which category?
Individual
Non-government Organization (ie: Scouts, Guides, 4-H etc...)
Government Organization
Educational Institution
Media
Industry and Business (ie: Chamber of Commerce, individual business, etc...)
- Name of Nominee
Contact Name (if Nominee is not an individual)
Address
City
Province/postal code
Tel/Fax/E-mail
List achievements in support of PITCH-IN CANADA's
Objectives (please ensure that your nomination documents
sustained
involvement)
Background Documentation (newspaper clippings, photos, printed materials, etc...)
Letters of Support (from others who can support your
Nomination)
Send to
PITCH-IN CANADA
Clean World Award
at this address