Award Nominee Submission Form 

Please select the award for which you are submitting a nominee: *

Marian Opala First Amendment Award

Ben Blackstock Award

Bickham/Hale Service Award

Sunshine Award

Black Hole Award

Nominee Phone (if applicable)

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Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country