Nominate a Local Hero

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


Information:    
                       

                                                               





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