* 1. Old Timer Nominee's Name

* 2. Address

* 3. Present or past place of employment

* 4. Year he/she started foundry work

* 5. Birth Date

* 6. Please state the reason(s) why your nominee should be recognized as a NEW Old Timer.

* 7. Are you aware of any changes or updates pertaining to a current Old Timer, such as a change of address?  If so, please share.

* 8. Your name and email address

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