Greater Palmer Chamber of Commerce

Nominee Information (* designates a Required Field):
Nominee Name:	*	Email:
Mailing Address:		City:
State:		Zip Code:
Phone No.:	*

Explain how this nominee exemplifies outstanding public service to the Greater Palmer community:
Explain how this nominee contributes to public safety efforts in the Greater Palmer area.
Explain how this nominee assumed personal risk to save the life or lives of others.
Explain why you think this nominee deserves credit over other possible nominees.
Detail the nominee’s involvement in the GPCC.
Give three adjectives you would use to describe your nominee.

List any other information you think is applicable.