INSTRUCTIONS: Please complete all three sections of the nomination form. Completed nomination forms should be submitted no later than Friday, October 5, 2018 to: CANADIAN BROWNFIELDS NETWORK Via Fax: 2800 14th Avenue, Suite 210 (416) 491-1670 Markham, Ontario L3R 0E4 Via E-mail: Attention: Petrie davidp@canadianbrownfieldsnetwork.ca NOMINATOR’S CONTACT INFORMATION: NAME: TELEPHONE: EMAIL: ORGANIZATION: ADDRESS 1: ADDRESS 2: CITY: PROVINCE: POSTAL CODE: PROJECT/PROGRAM DETAILS: Name of project/program: Project/program location: CITY: PROVINCE:
INSTRUCTIONS: Please complete all three sections of the nomination form. Completed nomination forms should be submitted no later than Friday, October 5, 2018 to: CANADIAN BROWNFIELDS NETWORK 2800 14th Avenue, Suite 210 Markham, Ontario L3R 0E4 Attention: Petrie Via Fax: (416) 491-1670 Via E-mail: davidp@canadianbrownfieldsnetwork.ca NOMINATOR’S CONTACT INFORMATION: NAME: TELEPHONE: EMAIL: ORGANIZATION: ADDRESS 1: ADDRESS 2: CITY: PROVINCE: POSTAL CODE: PROJECT/PROGRAM DETAILS: Name of project/program: Project/program location: CITY: PROVINCE:
2018-BrowniesNominationForm-PROJECTS.docx