King Charles III Coronation Medal Nominations 2024 (Office of Melissa Lantsman, MP Thornhill)

Nominate a fellow Thornhiller who has made significant contributions to our community and country to commemorate the Coronation of His Majesty King Charles III. Please note, only constituents of Thornhill can qualify as Nominees for MP Lantsman's allocation of Medals.

Sign in to Google to save your progress. Learn more
Your (Nominator) Name *
Your Email *
Your Phone Number *
Your Address  (street, unit, city, province, postal code) *
Name of your Nominee *
Nominee Email *
Nominee Phone Number *
Nominee Address (street, unit, city, province, postal code) *
Nominee Area of Significance (ex. community service, education, arts, athletics, politics, science/technology etc.) *
Tell us why you are nominating this person (max. 250 characters) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of melissalantsman.ca.

Does this form look suspicious? Report