Warning: session_start(): Cannot send session cookie - headers already sent by (output started at /home/deabla9/rcafassociation.ca/nominations/jubilee-medal-form.php:14) in /home/deabla9/rcafassociation.ca/nominations/jubilee-medal-form.php on line 18

Warning: session_start(): Cannot send session cache limiter - headers already sent (output started at /home/deabla9/rcafassociation.ca/nominations/jubilee-medal-form.php:14) in /home/deabla9/rcafassociation.ca/nominations/jubilee-medal-form.php on line 18

Nomination for the Queen's Diamond Jubilee Medal –
For Members of the Air Force Association of Canada

Some information may require you to consult the on-line membership database, accessible here (http://airforce.ca). Your e-mail address must first be recorded in the database before you can access information. Consult with the Executive Director at (toll-free) 1-866-351-2322 ext. 222 or should you have any questions.

Required fields are marked with an asterisk (*).


Nominator's Contact Information (Treated as Confidential)


Name of Nominee as it will appear on the certificate


Address of Nominee

(Consult the Membership Database Portal to retrieve this information)


Aerospace Veteran Canadian Forces
Education History & Heritage Philanthropy
Public Service Community Service Voluntary Service
Other (please specify below)

 
Regular Member Associate Member Honorary Member
Wing Executive Member Group Executive Member National Executive Member
Staff Member Other (please specify below)

 


Anti-Spam verification.
Click here to refresh
 
waitThank you! Your form is processing....