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DOROTHY DONNELLY COLONIES ZONE SERVICE AWARD |
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NOMINATION FORM |
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Name of person to be
nominated: |
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LMSC: |
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LMSC Office(s)/Committees
Held/Served: |
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Years: |
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Club Office(s) Activities
(including meets): |
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Years: |
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Is the nominee an active
participant in Masters Swimming? |
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q Yes q No |
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Name of person submitting
nomination: |
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Address: |
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City/State/ZIP: |
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Please provide additional
comments below: |
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