AWARDS OF DISTINCTION

NOMINATION FORM

ENTRY DEADLINE: SEPTEMBER 10, 2010

Nominator's Information:

(Please type or print)

Name_____________________________________________________________

Employer__________________________________________________________

Mailing Address_____________________________________________________

City____________________________ State________________ Zip_________

Work Phone________________________ Home Phone_____________________

Fax ________________________ Email_________________________________

Nominee:___________________________________

_____ SCBA Hall of Fame (Living ___ ) (Posthumous ___ )

_____ Masters Award

_____ Honorary Life Membership Award

Please provide a brief summary of reasons for your nomination of this individual. (You will be contacted later for more complete information.)

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Nominator Criteria:

Nominations my be made by any full-time employee of an SCBA station or associate member firm, any member of the SCBA Board of Directors, SCBA Past President, SCBA Hall of Fame Inductee, Masters Award Recipient or Honorary Life Member.

Please Note:

Submit To:

South Carolina Broadcasters Association

One Harbison Way, Suite 112, Columbia, SC 29212

FAX: (803) 732-4085 EMAIL: scba@scba.net