Nominate - WBNA

Nomination Form for WBNA Awards

I am nominating:

Please complete a separate nomination form for each person/organization being nominated *An individual or neighborAn organization or business

Name of organization or business being nominated (if applicable)

Name of individual you are nominating, or of the person representing the organization/business you are nominating *

Address

Address line 1

Address line 2

City

State

ZIP Code

Country

Email address *

Phone *

Please share why you are nominating this individual or business/organization.

Describe how candidate has contributed to the neighborhood and/or mission of the WBNA

Submitted by:

Full Name *

Email Address *

Phone