Achievement AWARDS
Application 2023
The Township of Lanark Highlands is pleased to recognize worthy individuals and business in Lanark Highlands each year.
Name of Individual or Business
Address
Owners Name
Owners Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Nominated by
Phone Number
Please enter a valid phone number.
I am nominating this individual/business in the following category (choose one):
Seniors Achievement Award (Individual)
Volunteers Achievement Award (Individual)
Community Spirit Award (Individual)
Best Community Impact (Business)
Signature of Nominator
Date Submitted
-
Day
-
Month
Year
Date Picker Icon
Submit
Should be Empty: