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Your Name Your Email Name of Nominee
Nominee's Telephone Nominee's Email Nominee's Address
Nominee is being submitted for:
Enter below a statement as to why this person should be honored.
Please include relevant personal, business and biographical information (including links to bios or online information about the individual) that would support their nomination.
Significant personal or professional achievements, affiliations and other relevant reasons for their consideration are encouraged. There is NO WORD LIMIT in this text box, please feel free to be detailed.