Myrtle Creek-Tri City Area Chamber of Commerce
South Umpqua Bridge covered bridges~golf~wildlife~rural living
  




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Citizen of the Year

2011 Citizen of the Year Nomination Form

Please complete this online nomination form if you would like to see a particular individual, group or business receive an award in one of the categories listed below.

~ click here for printer-friendly version of this form to drop off or mail ~

Nominations are due February 1, 2011
Please review nomination criteria.

The Awards Banquet will be held Saturday March 5, 2011

Please select one of the following categories for this nomination:

    Man of the Year
Woman of the Year
Lifetime Achievement
Business of the Year
Special Award; Please explain why:
  

Nominee   
Name of Man/Woman:  
Business Name:  
Street Address:  
  


Nominated by
Contact name:  
Telephone:
   Ext 
eMail Address:  

Tell us why you think this individual, business or group deserves an award:

 
   




©2010 Myrtle Creek~Tri City Area Chamber of Commerce
P.O. Box 31, Myrtle Creek, Oregon 97457  |  Phone:541-863-3037
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