Rollie Mueller President's Award

Rollie Mueller President's Award Nomination
The Rollie Mueller President’s Award, a plaque, has been established to recognize “commitment to excellence in the development, supervision or administration of a program or activity that motivates and serves the interests of tennis and tennis players.”
Name of Nominee

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
USTA Membership Number
Description of program or activity
Contributions to Wisconsin Tennis and/or the Wisconsin Tennis Association.
Playing, Coaching, Teaching Contributions
Other Tennis Activities (clinics, events, playdays)
Tennis Awards or Honors Received
Additional information relevant to this nomination
Other tennis activities, clinics, publications etc.
Name of nominator
Phone Number

Area CodePhone Number
E-mail
Please complete and submit this form by OCTOBER 1.
For additional information, contact Linda Freedman, Awards Chairman, freedman.linda.s@gmail.com.
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Rollie Mueller President's Award Nomination