Nomination Form

Nomination Information

Nominations close on February 13, 2025.

indicates required fields.

Name of nominee (Business Name or Individual and their Business Name)

Nominee Main Contact

Nominee phone number

Nominee email address

Nominee is located in Greater Victoria
Yes No Unsure

Radio Ad

Social Media

Chamber Newsletter

Direct Email

Member Referral

Other

Your first name

Your last name

Your email

Your phone number