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Nomination Form
Nominate your favorite teacher, nurse or frontline worker.
The Cup will pick 20 random winners to receive cupcakes from The Cup during the month of May 2021.
Nominations will close April 23, 2021.
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NOMINEE'S INFORMATION
Who are you nominating?
First & Last Name
*
Your answer
Email Address
*
Your answer
Cell Phone Number
*
Your answer
Place of Business (Name)
*
Your answer
Place of Business (Address)
*
Your answer
Job
*
Teacher
Nurse
Frontline Worker
YOUR INFORMATION
We would love to tell the nominee who nominated them.
Your Name (First & Last Name)
*
Your answer
Your Email Address
*
Your answer
Cell Phone Number
*
Your answer
Any special note you would like to share about this person?
Your answer
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