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* 1. Your Name

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* 2. Your Email Address

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* 3. Your Phone Number

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* 4. Name of person, firm or company you are nominating.

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* 5. For which award are you nominating?

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* 6. Include a description of why the individual or company is being nominated. Description should be at least 100 words.

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* 7. Upload any pictures or other related documents to support your nomination.

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