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2. 
4. We look forward to your nomination for a 2023 Environmental Stewardship Award. Please submit this entry form by May 15. Contact Jessica Buck at 610.489.4506 ext.14 or jbuck@montgomeryconservation.org if you have any questions.
6. Submission Date*
8. PROJECT INFORMATION
10. Project Name*
12. Physical Address*
14. Municipality*
    -- Select One --Abington TownshipAmbler BoroughBridgeport BoroughBryn Athyn BoroughCheltenham TownshipCollegeville BoroughConshohocken BoroughDouglass TownshipEast Greenville BoroughEast Norriton TownshipFranconia TownshipGreen Lane BoroughHatboro BoroughHatfield BoroughHatfield TownshipHorsham TownshipJenkintown BoroughLansdale BoroughLimerick TownshipLower Frederick TownshipLower Gwynedd TownshipLower Merion TownshipLower Moreland TownshipLower Pottsgrove TownshipLower Providence TownshipLower Salford TownshipMarlborough TownshipMontgomery TownshipNarberth BoroughNew Hanover TownshipNorristown BoroughNorth Wales BoroughPennsburg BoroughPerkiomen TownshipPlymouth TownshipPottstown BoroughRed Hill BoroughRockledge BoroughRoyersford BoroughSalford TownshipSchwenksville BoroughSkippack TownshipSouderton BoroughSpringfield TownshipTelford BoroughTowamencin TownshipTrappe BoroughUpper Dublin TownshipUpper Frederick TownshipUpper Gwynedd TownshipUpper Hanover TownshipUpper Merion TownshipUpper Moreland TownshipUpper Pottsgrove TownshipUpper Providence TownshipUpper Salford TownshipWest Conshohocken BoroughWest Norriton TownshipWest Pottsgrove TownshipWhitemarsh TownshipWhitpain TownshipWorcester Township
16. Project Timeline/Completion Date*
18. PROJECT CONTACT INFORMATION
20. Project Contact Name *
22. Project Contact Title*
24. Company/Organization*
26. Project Contact Phone*
28. Project Contact Email*
30. PROJECT SUMMARY
32. Provide a few sentences giving an overview of your project*
34. SUBMISSION INSTRUCTIONS
36. Step 1 - Submit Entry Form
38. Prior to submitting your form, you have the option of providing your e-mail address. We recommend you give your address to receive a copy of your completed entry form. You also have an option to print the form.
40. Step 2 - Submit Supporting Materials

42. 1. List of project partners

    2. Project description (1,000 words or less, please include project type, environmental benefits, impacts to soil and water

    quality, specific conservation measures, measurable results, project time frame, and community involvement).

    3. Up to 10 color photos (high-quality JPEG for print)

    4. Project location map

    5. Any additional project plans, blueprints, maps, etc.

44. Electronic Entries
46. E-mail the above materials to jbuck@montgomeryconservation.org. Please keep in mind that many e-mail systems cannot accept files over 9 MB. When e-mailing multiple images, include the project name in the subject line as well as an indication of how many separate e-mails you are sending (i.e., 1 of 6). As an alternative, you may mail your electronic items on a disc to the address listed below.
48. Mail Entries
50. Electronic submission are preferred. Mail entries, if needed, to this address:
52. Montgomery County Conservation District
    143 Level Road
    Collegeville, PA 19426
    ATTN: Jessica Buck
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field