Nomination for theGo Red Power of You Award
The American Heart Association has again partnered with Excellus BlueCross BlueShieldto recognize an individual whom over the past year has made positive changes andsignificant steps towards living a healthier life. No change is too small and everyaccomplishment is significant to be celebrated!Nominations for the Go Red Power of You Award, sponsored by Excellus BlueCrossBlueShield can be submitted by friends, co-workers, relatives or individuals may chooseto nominate themselves. The award winner he/she will be recognized at this
Red for Women’s Luncheon on May 1
at Harts Hill Inn.
Deadline for nomination submission:
Friday, April 12
Nominations may be sent by email to:
Printed versions may be mailed to:
Attn: Go Red Power of You AwardAmerican Heart Association120 Lomond PlaceUtica, NY 13502
Nominee Name ___________________________________________________________________
Nominee Address___________________________________City___________________ St______
How may we contact the nominee if he/she is selected?
Phone____________________________________ Email____________________________________ Nominated by______________________________________________________________________ Nominee Address___________________________________City___________________ St_______ Phone____________________________________ Email____________________________________ Relationship to Nominee ____________________________________________________________