Nomination Form

KERN COUNTY DEMOCRATS 2004 AWARD NOMINATION

You can nominate a person for more than one award; you can also nominate more than one person but please use 1 form for each person

Please don't nominate someone that has already received the award. Check the previous page for previous winners.

Print out and Mail nominations to KCDCC, P.O. Box 83, Bakersfield, Ca. 93302
Available Awards;Please see previous page for requirements for each award.
Good Donkey
Horace Massey
George White Award
Lifetime Achievement Award
Woman of the Year Award
Walter Stiern Award
George and Millie Ablin Award
Dorothy Donohoe Award

I would like to nominate_____________________________________

Recipients Phone #___________________________________________

For the __________________________________________Award

Reason for this nomination;

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

Your Name and Phone #_________________________________________

Discuss this message.