After you have filled out this award nomination form, we will send you an invoice, which can be paid with either an etransfer to
info@qfhsa.org (password: qfhsa) OR by cheque mailed to our office at:
560-3285 boul. Cavendish
Montreal, QC
H4B 2L9
The price of each award is $10.00. Recipients will receive a certificate and a special lapel pin, which will be mailed to the address you provide on this form.
Deadline for submissions is: May 6th, 2022 PLEASE NOTE: THE DEADLINE HAS BEEN EXTENDED TO MAY 16TH!
Congratulations to the award winners!