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ERCA Tips
When it comes time to replace your appliances, consider water and energy efficient models.

Nomination Form

If you would like to nominate someone for an award, please complete all the fields below and then click on the Submit button once. Alternatively, download a nomination form and fax it to us at 519-766-8688 or mail to ERCA, 360 Fairview Avenue West, Suite 311, Essex, Ontario N8M 1Y6.

Person / organization being nominated:

Nominee:
 Name/Organization
Contact Person: If Applicable
Address:
Telephone:
Fax:

Award Category:

Individual Organization Municipal
Education:  
Volunteer:
Environmental Achievement:

Nominated by:

Name:
Address:
Telephone:
Email:
About the Nominee:
 (denotes required information)