Irving Oil Community Strength Contest - Nomination Form

Tell us about someone you know who deserves recognition for supporting their community and they could win a $500 donation to a charitable organization of their choice. Plus, you could both win a $50 Irving Oil or Big Stop Restaurant gift card!

Nominator Contact Information
_{Please complete the following fields with your information so we may contact you in the event you or your nominee are drawn as winners:}

First name

Last name

Email address

Phone number

Mailing address

City/Town

Province/State

Postal/Zip

Nomination
_{Tell us about your nominee.}

First name

Last name

How are they helping? How are they making your community strong?

I understand and accept the Official Rules and Regulations.

_{Official Rules and Regulations.}

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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