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Radio Hall of Fame Nomination Form
RADIO HALL OF FAME NOMINATION FORM
Criteria to be met:
Nominee must have worked at least 20 years in radio
Nominee must have worked a minimum of 15 years in Country Radio
Contribution to the growth and development of country radio
Community involvement and longevity
Contribution to the preservation and enhancement of country music as an art form
I hereby submit this applicant for nomination and entry into the Country Radio Hall of Fame and provide the following contact information:
Nominee Name
Next of Kin if Deceased
Nominee Address
City
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
Nominee Phone Number
Nominee Email Address
Submitted by:
Name
Address
City
State
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
Phone Number
Email Address