Hall of Fame Nomination Form

Nominee’s Name*

Nominee’s Company – Optional

Nominee’s City*

Nominee’s Province*

Please provide a brief outline of why you feel this nominee is deserving of this recognition*

Nominator*

Please provide the contact information for the Nominator.

Nominator’s Station – Optional

Nominator’s Address*

Nominator’s City*

Nominator’s Province*

Nominator’s Postal Code*

Nominator’s Phone*

Nominator’s Email*