Longhorn Legend Nomination Form
Nominator's Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
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Nominee Information
Name
*
(Please let us know if he/she is deceased)
Graduation year or years of service (if known)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Reason for Nomination
*
Submit Nomination Form
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