8/2/2019 Nomination for Democracy Award

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Nominations

Nominations will be accepted rom Mon-

day, March 12, to Friday, April 13, 2012.A nomination must be supported by threeMontréal residents or three representatives

o a Montréal civil society organization. Aduly completed nomination orm must beaccompanied by a letter justiying the nomi-nation. Other supporting documents mayalso be submitted.

Please send the nomination orm,supporting letter, and any other relevantdocuments to:

Mr. Pierre Chevalier

Ville de MontréalMayor o Montréal’s Democracy AwardDirection des Aaires institutionnelles275 Notre-Dame Street EastRoom 3.108Montréal (Québec) H2Y 1C6

Inormation: 514 872-7802, orpchevalier@ville.montreal.qc.ca

Aussi disponible en français.

This leaet is available at:ville.montreal.qc.ca/democracyaward

Nomination form

Nomination period: Monday, March 12, to Friday,

 April 13, 2012

Name and contact inormation o the person, groupo people* or organization nominated or the award

Name

Address

Telephone

E-mail

I accept this nomination:

 

Signature

Name and contact inormation o the three peoplesupporting the nomination

Name

Organization (I applicable)

Address

E-mail

Signature

Name

Organization (I applicable)

Address

E-mail

Signature

Name

Organization (I applicable)

Address

E-mail

Signature

*I a group o people is nominated, please include a sheet with each person’sname, contact inormation, and consent to the nomination.

Mayorof Montréal’sDemocracy Award

2012

8/2/2019 Nomination for Democracy Award

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