Distinguished Organization Award Nomination Form

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Name of Business or Organization you are nominating for this award *

Nominee's Name (Person representing the Organization you are nominating) *

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Nominee's Phone Number

Nominee's Email *

Nominator's Name (Your name) *

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Last

Nominator's Phone Number

nominating Name award

Nominator's Email *

Nominator's Organization/Business Name (optional)

Your Relationship to Nominee (optional)

Write a paragraph about the nominee's contributions to merit this award and positive contributions he or she has made.