Town of Wasaga Beach - Veteran Nomination Form

REMEMBRANCE SERVICE BANNER PROGRAM

Honoring The Contributions of Wasaga Beach Residents In of Service our Country
* Please include biographical information for presentation purposes.
NOMINEE INFORMATION:
Please ensure accuracy, as this is the name that will be printed on all letters,
First Name
Last Name
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Code
Age
Email
example@example.com
Day
Evening
Is a High Quality image attached for use in the Remembrance Banner Program?

YesNoOther
Please provide details of the nominees service such as when where what they were involved in Please use additional pages as necessary
NOMINATED BY:
First Name
Last Name
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Code
Day
Evening
Email
example@example.com
Fax
Signature

Clear
USE ADDITIONAL PAGES IF MORE SPACE IS NEEDED**

DEADLINE FOR SUBMISSION IS Oct.21st 2024 Please submit completed forms to ashley.forbes@wasagabeach.com or drop off in person or mail to 30 Lewis Street, Wasaga Beach, ON L9Z 1A1 Attention: Ashley Fobres
Should be Empty: