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RECOGNITION AWARD
FOR OUTSTANDING ACTIVITY

To honor an individual, group, or organization
that has made significant contributions
to the Friends of the Middletown Thrall Library.

NOMINATION FORM

Deadline for submitting: March 15, 2003


I nominate


Name of individual / group / organization


Street Address


City, State & Zip

Nominated by:


Your name



Telephone               / Best time to call

Please list the nominee's achievements below. You may also attach letters of support.











Return this form to The Awards Committee at:
11-19 Depot Street
Middletown, NY 10940-5706