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Centenarian Recognition
Nominate a Cumberland County resident turning 100 years old to receive our Centenarian Recognition.
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Centenarian's full name?
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Address
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Birthdate
MM
/
DD
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YYYY
What are their hobbies and interests?
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Any secrets to their longevity?
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Do they have any interesting facts or stories to share?
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Name of person to be contacted about the recognition?
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Contact info of person to be contacted about the recognition? (phone & email preferred)
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How would you like to receive the special recognition?
Option 1
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