Thank you for your nomination. Please provide in of the slots below your own contact info and
information about the person you wish to nominate as a Local Hero.
YOUR CONTACT INFO
PLEASE NOTE THAT WITHOUT VALID CONTACT INFO YOUR SUBMISSION WILL NOT BE ACTIONED.
Your Name:
E-Mail:
City:
State/County:
Country:
About the person you wish to nominate.
The following information about your hero would be useful:
o Name
o Date of Birth or age
o Date when they died (if deceased)
o Why you think they are a Local hero
o Any family information
o Any stories about them you wish us to tell
o Any other useful information
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Information:
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