WIXX Christmas Wish 2024 Nomination
Special thanks to our presenting sponsor: Community First Credit Union
Nominator's Information
Please provide us with your information below.
Nominator's Name
*
First Name
Last Name
Nominator's Phone Number
*
Please enter a valid phone number.
Nominator's Email
*
example@example.com
Nominator's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to Nominee
*
Best Time of Day To Reach You At Number Provided
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Nominee's Information
Please provide us the information of the person you want to nominate.
Nominee's Name
*
First Name
Last Name
Nominee's Phone Number
*
Please enter a valid phone number.
Nominee's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Time of Day To Reach The Nominee at Number Provided
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Please describe, in as much detail as possible, what the nominee’s situation is:
*
Please explain, in as much detail as possible, what the needs are?
*
Anything else you’d like us to know about this request?
*
I would like to sign up for the WIXX Email Club to receive weekly communications via email about other upcoming events, concerts, giveaways, and more from 101 WIXX.(Your information will not be sold to third-parties and you can unsubscribe at any time)
Submit
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