Drainage Superintendents Association of Ontario

Nomination Form
Drainage Superintendents Association of Ontario  
RR #3 Ridgetown, Ontario, N0P2C0           Voice: (519) 875-4485    Fax: (519) 875-4789


McNEELY - TAILLON - STANTEC ACHIEVEMENT AWARD

Nominee Information


 

  
Please complete the
required information
Name: ____________________________________________

Address: __________________________________________
Address: __________________________________________
Address: __________________________________________
Address: __________________________________________
Address: __________________________________________

Phone: ________________         Fax: __________________

Email: ________________________________________

Name of Firm or Municipality: ____________________________________________
Details
In the space below, or on an attached page, please indicate the outstanding achievements of the nominee in furthering the objectives of the DSAO.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Nominated By

Signature __________________________

Name _____________________________

Phone: ________________         Fax: __________________

Email: ________________________________________

  
Seconded By

Signature __________________________

Name _____________________________

Phone: ________________         Fax: __________________

Email: ________________________________________
 
Eligibility
To be eligible, nomination forms must be
received by the Executive Secretary on or before
December 19, 2001.		  
Send Nominations To
Drainage Superintendents Association of Ontario
R.E. Clayton, Executive Secretary
RR # 3, Ridgetown, Ontario, N0P-2C0