Name of Nominee
Nominee's Phone #
Nominee Age
Ring Size
How Long a Bartender? (years)
How Long at Current Establishment? (years)
Name of Establishment?
Your Name
Your Phone #
Your Email
Your Address
Your City
Your Zip
Outstanding Personal Achievements
Community Service ** (good deeds, help to charities, youth organizations, etc. include press clippings, citations, etc.)
Please Comment on Professionalism and Character of Nominee
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