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* 1. Please check which category or categories you wish to submit.

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* 2. Name of Nominee

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* 3. Nominee's Address (All nominees much be located in Monroe County)

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* 4. Name of Contact Person

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* 5. Contact Person's Address

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* 6. Contact Person's Phone Number

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* 7. Contact Person's Email (if available) 

0 of 7 answered
 

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