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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. Nominee Name:

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* 5. Nominee Company/Organization:

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* 6. Nominee City/Town:

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* 7. Nominee Email Address:

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* 8. Nominee Phone Number:

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* 9. Please provide a brief description of why you have nominated this person to become Anderson County Ally of the Year:

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