Township of Terrace Bay Sports Wall of Fame: Builder Nomination Form
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Name of Nominee
Current (or last known) Address of Builder Nominee
Please provide City/Town, Province/Postal Code
Nominee Email
Builder Nominee Phone Number
Builder Nominee Alternate Phone Number
Date of Birth
Place of Birth
Years residing in Terrace Bay
Please provide the year range nominee lived in Terrace Bay i.e  1965-2016
Is the builder nominee deceased?
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