Gala - Tourism Nominee

First Name *

Last Name

Email *

Phone *

Nominee Name *

Nominee Business/Organization

Location of Business/Organization

Years in business

Is the Nominee aware of this nomination?

Yes

No

Is the nominee a member of the Brockville & District Chamber of Commerce?

Yes

No

Nominee Email

Nominee Phone *

Describe the nominee's contribution to tourism for the Brockville & District Communities. *

Give examples of how the nominee is an ambassador for our communities. *

Illustrate the innovative contributions that result in economic impact specific to tourism demonstra *

Describe how the nominee partners with others and supports community efforts specific to tourism. *

How does the nominee positively impact and contribute to the betterment of the Brockville community?

Any Additional Information