ACWHF ATLANTIC COUNTY WOMEN'S HALL OF FAME 2024 NOMINATION FORM
Nominee Name: FIRST M.I. LAST
Nominee Employer and Work Phone:
Nominee Home Address:
Nominee Email address:
example@example.com
Individual/Group submitting the nomination
Individual/Group Address
Nominator's Phone Number
Nominator's Email:
example@example.com
SIGNATURE OF individual/representative submitting the nomination
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