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2018 BROWNFIELDER OF THE YEAR AWARDNOMINATION FORM

INSTRUCTIONS:Please complete all three sections of the nomination form. Completed nomination forms should be submitted no later than Friday, October 5, 2018 to:

CANADIAN BROWNFIELDS NETWORK2800 14th Avenue, Suite 210Markham, Ontario L3R 0E4

Attention: David Petrie

Via Fax:(416) 491-1670

Via E-mail:davidp@canadianbrownfieldsnetwork.ca

SECTION 1: NOMINATOR’S CONTACT INFORMATION:Please tell us about yourself:

NAME: TELEPHONE:

           TITLE: EMAIL:

           ORGANIZATION:

     ADDRESS 1: ADDRESS 2:

           CITY: PROVINCE: POSTAL CODE:

SECTION 2: NOMINEE’S INFORMATION:Please tell us about the person you are nominating for the award:

NAME: TELEPHONE:

           TITLE: EMAIL:

           ORGANIZATION:

     ADDRESS 1: ADDRESS 2:

           CITY: PROVINCE: POSTAL CODE:

Has this individual been informed of his/her nomination? Yes No

NOMINATIONS CLOSE FRIDAY, OCTOBER 5, 2018

SECTION 3: NOMINATIONThis nominee deserves to be Brownfielder of the Year because...In 500 words or less, please tell us how the nominee meets the following criteria: Reputation as a champion for brownfield redevelopment Promotes a better understanding of brownfields as strategic assets Invests exceptional personal effort to further the cause of brownfield redevelopment

Questions? Please contact Canadian Brownfields Network with any questions about the nominations process.Contact: David Petrie • 416-491-2886 ext. 249 • Toll-free 1-800-208-9398 • davidp@canadianbrownfieldsnetwork.ca

Questions? Please contact Canadian Brownfields Network with any questions about the nominations process.Contact: David Petrie • 416-491-2886 ext. 249 • Toll-free 1-800-208-9398 • davidp@canadianbrownfieldsnetwork.ca