* 1. Please fill in YOUR information below

* 2. Name of award nominee (individual or water utility)

* 3. Please indicate the award for which you are nominating this person or water utility.

* 4. Please give a detailed statement supporting why the individual/organization should receive this award.

Please send any further supporting documents, resume, etc. to: Maine Water Utilities Association, 150 Capitol Street, Augusta, ME 04330
or email to info@mwua.org or fax to (207) 623-9522.

Nominations are due December 1st.

On behalf of the Board of Directors of Maine Water Utilities Association, we thank you for your nomination!