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Ed Fujimoto Award Nomination

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Nominee Name (as it will appear on award)
Reason for Award:
Club Name:
Your Name:
Your Email Address:
  

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with the following information:
Name of Nominee as it should appear on the award
Writeup of why this person was selected
Club Name
Your Name
Your Email
 
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Full name:
Email address:
Comment:
  

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