HTFC - Nomination Form

NOMINATION FORM

Nominator Information:

First Name:

Last Name:

Organization:

Address:

Address (line 2):

City/Town:

City District:

Province/State:

Postal/ZIP Code:

Country:

Home Phone:

Email:

Work Phone:

Website:

Fax:

Where did you hear about this Project?

Media/Venue Name:

Tree Information:

Select Tree Category First: *

Tree Information Section

Tree Location Information:

Location Type:

Location Name:

Other Type:

Tree Address:

Address
(line 2):

City/Town:

City District:

Province:

Postal/ZIP Code:

Country:

Canada

Tree Rural Legal Description:

1/4: Section: Township: Range: W:

MD/County:

Nearest Intersecting Highways or Roads:

Directions*? and Location on Property

Latitude:

decimal: OR ° ' ''

Longitude:

decimal: OR ° ' ''

Co-ordinate Source:

Land ownership type:

Private		Public		Institution
	Residential		Municipal		Place of Worship
	Commercial		Provincial		Hospital
	Industrial		Federal		School
	Farm				Military Base
	First Nation Reserve			Name:

What makes this tree special?

Exceptional (check all that apply):

Height	Diameter	Canopy Spread	Age
Arboretum	Shelterbelt	Community Landmark	Commemorative Tree/Grove
Odd Shape	Burl/gall/ growth	Unusual Location	Survivor of Adverse Conditions
Garden	Rare	Horticultural Significance	Bird Habitat
Part of Environmental Sensitive Area Name:

Explain:

Historical Significance (select applicable):

Building

Site

Event

Person/Group

Explain:

Story (select applicable):

Historical

Cultural

Community

Story Text:

Other:

Property Owner Information:

Same as nominator

Don't know

If different than nominator

First Name:

Last Name:

Organization:

Address:

Address (line 2):

City/Town:

City District:

Province/State:

Postal/ZIP Code:

Country:

Home Phone:

Email:

Work Phone:

Website:

Fax:

Is owner aware of this nomination?:

Yes

(The Foundation will seek permission from the owner to place a plaque on the tree and location on our map)

Tree Photographs

Please email or mail your photographs or slides to:

photo@heritagetreefoundation.com

Heritage Tree Foundation of Canada
Box 334
Turner Valley, Alberta, T0L 2A0

Read and check before submitting

Yes, I Give my permission for the Foundation to include my name (only) as a nominator on published document

*I have read FOIP - click here to read FOIP

Print the copy of the nomination: click here to print

If you are still experiencing problems please call this number: (403) 933-3099

The Foundation Sponsors:

The Foundation Sponsors: