Dr. Garth Taylor Humanitarian Award Nomination Form
Use this form to nominate an individual for the Dr. Garth Taylor Humanitarian Award.
Your name:
Company:
Address:
City:
Province:
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Postal Code:
Phone:
Facsimile:
Your email:
Award type:
Dr. Garth Taylor Humanitarian Award
Nominee:
Reason:
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Cornwall Chamber of Commerce
Commerce Court - 113 Second Street East Suite 100 - Cornwall, Ontario K6H 1Y5
Tel:(613) 933-4004 ~ FAX:(613) 933-8466