The 3rd Annual  
 Great Canadian Projects Issue 
 Submission Form 
 Category (Select Only ONE): 
 Canadian company, within Canada	 Canadian company, outside Canada	 International company, within Canada 
 Project Name:  _________________________________________________________________________________ 
 Approving Principal or Officer (Name and Title):  _____________________________________________________ 
 Submitted by (Name and Title):  ___________________________________________________________________ 
 Company Name:  _______________________________________________________________________________ 
 Address: ______________________________________________________________________________________ 
 City:  _________________________________________________________________________________________ 
 Province/State:  ________________________________________________________________________________ 
 Postal Code/Zip Code:   __________________________________________________________________________ 
 Country:   _____________________________________________________________________________________ 
 Telephone: ____________________________________________________________________________________ 
 Website:  ______________________________________________________________________________________ 
 Email: ________________________________________________________________________________________ 
 Project Owner:   ________________________________________________________________________________ 
 Project Start Date:   _____________________________________________________________________________ 
 Project Completion Date:   
 ________________________________________________________________________ 
 Please submit completed entry form, photos and brief project overview to: lristo@lesterpublications.com. 
 Entries must be received no later than Jan. 24, 2020. 
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 80 Q3  2019  www.pilingcanada.ca 
 
				
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