Nomination Form

Fill out form and fax form to (604) 604-599-5919
 separate copy required for each person being nominated

Your Name _____________________________________________               Phone (     )___________________

Company __________________________________________________________

Nominee (person, group, business) ____________________________________________

Address _____________________________________________________________  Phone (     )________________

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Please describe why you think this person/group/business should be nominated.
Describe fully their contribution to our Newton Community.

Be sure to mention length of service,
volunteer positions held, responsibilities of position, academic, arts or sports achievements,
community leadership and charitable contributions.

We would appreciate a brief personal history as well.

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