2020 First Citizen

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* 1. Nomination Type

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* 2. Name of Nominee

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* 3. Nominee’s Address

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* 4. Nominee’s Phone number and/or email address

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* 5. Achievements: (Please list items such as awards, volunteer service, organizations person has belonged to, offices held, professional accomplishments, areas of inspiration or outstanding performance).

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* 6. Your name

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* 7. Your contact info (email and/or phone)

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* 8. If your nominee is selected, would you be interested in introducing winner at the award ceremony?

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* 9. Do you wish to remain anonymous?

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