Name of Nominee

Type over with Nominee’s name

Street Address: Click or tap here to enter text.

City, Prov: Click or tap here to enter text. Postal Code: Click or tap here to enter text.

Telephone: Click or tap here to enter text. Cell phone: Click or tap here to enter text.

Email: Click or tap here to enter text.

Details of directing activities and accomplishments (Singing experience, musical experience, degrees, titles, part sung, instruments played, music schools attended, etc.)

Click or tap here to enter text. The box will expand to the size of the input

Rationale for award :

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Name of Nominator

Type over with your name

Street Address:	Click or tap here to enter text.

City, Prov: Click or tap here to enter text. Postal Code: Click or tap here to enter text.

Telephone: Click or tap here to enter text.

Date: Click and use pulldown calendar