Jeff Award Nomination Your name: __________________________________________________________________________ Address: ____________________________________________________________________________ City: _______________________________________________ Zip: ___________________________ E-mail: _____________________________________________ Phone:___________________________ ****** Nominee’s name: _____________________________________________________________________ Business name: _______________________________________________________________________ Does your nominee live in Lake Forest Park? Yes____ No____ Does your nominee run a business in Lake Forest Park? Yes____ No____ Address (indicate whether business or residence): _______________________________________________ City:__________________________________________________ Zip: __________________________ E-Mail: ____________________________________________ Phone:___________________________ Using concrete examples, please describe how your nominee meets the qualifications listed in the award announcement. If needed, attach a separate page, with nominee’s name at the top.
Nominations are due no later than December 13th. Send by email to:
[email protected]. or mail to LFP Rotary, P.O. Box 55983, Shoreline, WA 98155-0983.
