Current Page 1 Page 2 Page 3 Page 4 Preview Personal information on this form is collected under the authority of clause 31(c) of the Freedom of Information and Protection of Privacy Act and will only be used for the purposes of the Order of Prince Edward Island Advisory Council determining the suitability of nominees for investiture in the Order of Prince Edward Island, pursuant to the Provincial Emblems and Honours Act. Questions on the collection and use of this information can be directed to Laura Morrell, Secretary to the Advisory Council, at lemorrell@assembly.pe.ca, or 902-368-5970. Identification Thank you for choosing to nominate someone for the Order of PEI. Enter your (the nominator's) contact details below. First Name Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Alternative Telephone Number For example 902-555-5555 Email Address County of Residence - Select -KingsQueensPrince Preferred Communication Language - Select -EnglishFrench What is your relationship with the nominee? - Select -Family MemberFriend/Friend of FamilyPast or Current ColleagueOther Describe your relationship with the nominee. Next Page >