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RADIO HALL OF FAME NOMINATION FORM
Criteria to be met:

  • Nominee must have worked atleast 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
Zip
Nominee Phone Number
Nominee Email Address
 
Submitted by:
 
Name
Address
City
State
Zip
Phone Number
Email Address


 
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