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John W. Tolbert, Jr. Environmental Achievement Award Nomination Form

Survey/Form Review
Leesburg’s Environmental Advisory Commission (EAC) welcomes nominations throughout the year for the annual John W. Tolbert, Jr. Environmental Achievement Award.
The Tolbert Awards are presented each April by the Environmental Advisory Commission. This award program recognizes students, community groups and individuals that conduct or participate in activities that benefit the Town’s environment.
The deadline for the 2013 Tolbert Awards is March 15, 2013.
You may submit your nominations online by filling out the form below or you may send nominations via email to Irish Grandfield.
Your Contact Information*
First Name
Last Name
Mailing Address*
Street Address
City
State
ZIP
Email Address*

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