Arts Awards Nomination

"*" indicates required fields

Name*

First Last

Business/Organization (If Applicable)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

What award are you applying for?*

How did you hear about us?*

Nominee/Primary Contact*

First Last

Nominee Business (If Applicable)

Nominee Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Is this person or business aware of the nomination?*

Yes

Please describe, in detail, why you are nominating this individual or organization (max 200 word count):*

Documents

Accepted file types: jpg, gif, png, pdf, doc, docx, txt, rtf, html, odt, jpeg, Max. file size: 128 MB.

Images

Accepted file types: jpg, gif, png, pdf, doc, docx, txt, rtf, html, odt, jpeg, Max. file size: 128 MB.

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