RECOGNITION AWARD
FOR OUTSTANDING ACTIVITY

To honor an individual, group, or organization
that has made significant contributions
to the Friends of the Middletown Thrall Library.

NOMINATION FORM

Deadline for submitting: March 15, 2003


I nominate

Name of individual / group / organization

Street Address

City, State & Zip

Nominated by:

Your name


Telephone               / Best time to call

Please list the nominee's achievements below. You may also attach letters of support.






Return this form to The Awards Committee at:
11-19 Depot Street
Middletown, NY 10940-5706
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