Good Helper Awards Recognition Form
If your organization is hosting an event at which you’ll be recognizing an individual, organization, or business for their service, please let us know. Simply fill out the Submission Form and we’ll make sure to raise awareness for your organization while offering our Congratulations! to a “Good Helper.”
Email
*
Name of Organization
*
Key Contact Person
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Mission of the Organization
*
Who is Being Honored?
*
What award are they receiving from the organization?
*
The reason why they are receiving the award
*
Would you like a LVPM representative to attend the event and present the Good Helper Award?
*
Please include event Date
*
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Month
-
Day
Year
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Event Location
*
Please list all applicable social media tags
Submit
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