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* 1. Is your nominee at least 65 years of age?

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* 2. Is your nominee a resident of Blind River, Ontario?

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* 3. Please share the first and last name of your nominee

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* 4. Please share kind and fun thoughts about your nominee!
What they do to make Blind River a great place to stay, play, and live!

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* 5. Please share your nominee's contact information (if known) so we can get in touch if they win!
Please note, any information provided will not be shared, sold, or used for any purpose other than this contest.

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* 6. If you wish to share your contact information, please do so.

Please note, you will only be contacted if your nominee is the winner and we are struggling to contact that person. Your information will not be used for any other purpose other than this contest.

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