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 ( 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)


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