Nominee

Name of Nominee

Nominee's Phone #

Nominee Age

Ring Size

How Long a Bartender? (years)

How Long at Current Establishment? (years)

Name of Establishment?

Nominated By

Your Name

Your Phone #

Your Email

Your Address

Your City

Your Address

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