* 1. Name of the recipient(s) AS YOU WOULD LIKE IT TO APPEAR ON THE AWARD

* 2. Recipient(s) email address

* 3. Recipient(s) phone number

* 4. Name of the community of faith/congregation or non-profit sponsoring the Partner(s) in Faith

* 5. Sponsor contact person's name

* 6. Contact person's email

* 7. Contact person's daytime phone number

* 8. Name of escort -- a person from the organization to accompany your recipient(s) to the podium

* 9. Please provide a statement that explains why this person(s) is receiving the Award and a little about the person  --  120 words maximum please

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