Nomination Form

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					Registration Form
The City of Monash is seeking the interest of individuals, households, schools, community groups, institutions, businesses and corporations to register for the 2009 Monash World Environment Day Awards. Please submit your registration to the City of Monash by 5pm Monday, 20 April 2009. When your registration form has been received, Council will contact you to confirm your details and ensure that you have an official entry form for your nominated award category.

Award Category
Please tick or underline the appropriate category to register for a World Environment Day Award:
(tick or underline one box only)

 Greenest Household Award  Sustainable New Building or Renovation Award  Sustainable Business Award  Community & Leadership Award

Entry Information
Nominated individual, household, school, group, institution, business or corporation: ……………………………………………………………………………………………………………... Title of project or initiative: ……………………………………………………………………………………………………………… Location of project or initiative: ………………………………………………………………………………………………………………

Contact Person
Name: .. …………………………………………………………………………………………………… Address: .. ... ……………………………………………………………………………………………… Postal Address (if different): ... ………………………………………………………………………… Ph: ……………………… Fax: ……………………… Email: ... …………………………………… Please submit your completed nomination form to: Mail: Monash World Environment Day Awards City of Monash, PO Box 1, Glen Waverley VIC 3150 Email: wed@monash.vic.gov.au (Subject: World Environment Day Awards) Hand delivered: Civic Centre, 293 Springvale Road, Glen Waverley Oakleigh Service Centre, 3 Atherton Road, Oakleigh For more information contact Susan City, City of Monash on 9518 3597. Entry Forms: must be received by 5pm, Monday 20 April 2009.


				
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