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* Your first name
   
 
 
* Your last name
   
 
 
* Your e-mail address
   
 
 
* Name of nominee (you may nominate yourself)
   
 
 
* Name of nominee's company
   
 
 
* What sets the nominee apart?
   
 
 
* What is the nominee's community involvement?
   
 
 
* Why should the nominee win this award/recognition?
   
 
 
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