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Eau Claire Old Abe Athletic Hall of Fame Nomination Form
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* Indicates required question
First and Last Name of Nominee/Athlete:
*Please include both married name (if applicable) and maiden name.
*
Your answer
Nickname of Nominee/Athlete (optional)
Your answer
Mailing Address of Nominee/Athlete
Please include in the following order: (A) Address Number with Street Name; (B) City; (C) State; (D) Zip Code; (E) Country
*
Your answer
Nominee's/Athlete's Phone Number(s):
*If the nominee lives in a foreign country, please include the foreign-country code in front of the phone number.
*
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Nominee's/Athlete's Email Address:
*
Your answer
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