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2. Submitter
4. Name*
6. Phone Number*
8. Email Address*
10. Nominee
12. Name*
14. Phone Number*
16. Email Address*
18. Brief description of nominees’ leadership and how their project positively impacted the environment.*
20. Additional Information (if applicable)
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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