The Rockford Area Golf Hall of Fame Nominations
Nominee Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Sex
*
Male
Female
Status
*
Living
Deceased
All nominations must include a photo (head shot) of the person being nominated. Please upload a photo of the person you are nominating.
*
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Submitted By
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please provide the following information about the person(s) you are nominating
Description of contributions to Rockford area golf:
*
Affiliations and achievements:
*
(i.e. golf involvement in local area – Winnebago or Boone County, state, and/or national associations and other related professional organizations
Other pertinent information:
Submitter’s Signature
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