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Awards Nomination Form

The Manitoba Eco-Network Environmental Awards are given in recognition of significant contributions to the awareness and / or protection of Manitoba's environment. Deadline for nominations is May 3, 2008.

Manitoba Eco-Network Award Nomination Form
Award Category:	Individual Group Special
Nominee Information:
Name:
Email:
Phone:
Address:
Fax :
Contact name (if Group):
Group affiliation(s) (if Individual):
Please describe the nominee's environmental work:
How long has the nominee been involved in environmental work? :

Please outline any special contributions you feel the nominee has made to the environmental community in Manitoba (projects, initiatives, participation, activism):
Why do you think this person or group deserves to be acknowledged with the Manitoba Eco-Network Environmental Award?
If possible, please provide an additional reference for the nomination.
Reference name:
Reference email or mail:
Your name:
Your email or mailing address:
Your phone number:
or