Current Page 1 Page 2 Preview Personal information on this form is collected under Sections 31(c) and 32(1)(n) of the Freedom of Information and Protection of Privacy Act as it relates directly to and is necessary for the PEI Senior Islanders of the Year Awards Program, and will be used for the purpose of assessing nominations and contacting potential award winners. If you have any questions about this collection of personal information, you may contact the coordinator of the PEI Senior Islanders of the Year Awards Program, 11 Kent Street, Jones Building, Charlottetown, PE C1A 7N8, tel: (902) 620-3785 Identification Enter your contact information as the nominator First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code Exemple C1B 0X1 ou 12345 Country Telephone Number Exemple 902-555-5555 Email Address