Sparta Area Chamber of Commerce Newsletter November 2019 Edition | Page 25

25 - The Sparta Ambassador - November 2019 Click This box to submit your nomination form online Sparta Area Chamber of Commerce Annual Mee,ng and Banquet Recogni,ons Nomina,on Form Please check one: □ □ □ Community Service Award Not-for-Profit Chamber Member of the Year Young Adult Community Service Award Nominee (organization or individual): ________________________________________ Nominee Contact Information (provide as much as possible) Address_____________________________________________________________ Phone ___________________________________ Email ____________________________________ Please describe why this person or organization is deserving of this recognition: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Nomination submitted by __________________________________________________ Phone _______________________________________