Volunteer Recognition Form

Please submit one Volunteer per Organization for this Award
Please complete by January 17, 2017 
Questions? Please contact us at director@philomathchamber.org or call (541) 929-2454.

* 1. Organization:

* 2. Contact Person & Phone Number:

* 3. Purpose of your organization:

* 4. Name of Volunteer to be recognized and Volunteer’s Mailing Address: 

* 5. Please provide a short biography for the volunteer to be recognized including length of service, activities involved in, hobbies, community involvement, etc: