Professional Documents
Culture Documents
Cost $35 per person Table of 6-$300 Table of 8-$350 Tickets available through the Chamber of Flowood
register on-line at www.flowoodchamber.com under events or 601-932-8007 *Registration required
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Name of Nominee
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Address daytime phone City State alternative phone # zip
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Award Information
One deserving assistant will be named
Nominator Information
__________________________________________________________________________________________ your name your business (optional) your address ___________________________________________________________________________________________ your daytime phone # your alternate phone #
Chamber Information
Please send your nomination form by one of the following ways:
mail: the Chamber of Flowood P.O. Box 320927 Flowood, MS 39232 fax: (601) 932-0041 email: janderson@flowoodchamber.com
Questions? Please call the Chamber at (601) 932-8007 DEADLINE: Tuesday, APRIL 8, 2014