MiFOP "Herb Adams" Member Of The Year

MiFOP "Herb Adams" Member Of The Year

This is the form to submit a nomination for F.O.P. State Lodge of Michigan Herb Adams Member of the Year.
Your Information
Name*

First NameLast Name
Email*
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Today's Date*

MonthDayYear
Date
Lodge*
Nominee's Information
Name*

First NameLast Name
Phone Number
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Email
example@example.com
Lodge*
Narrative
Please write a narrative describing why the member should be recognized as F.O.P. Herb Adams Member of the Year.
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Your Information