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PALESTINE AREA CHAMBER OF COMMERCE

Lifetime Achievement Nomination

An individual who has made substantial contributions and accomplishments throughout his/her lifetime to our community.
Name
Please provide your First and Last Name
Please provide your email address, so that we may contact you if we have any questions.
Please provide the First and Last Name of the individual you are nominating.
Please provide as much detail and examples as possible.
Attach any Supporting Documents, Pictures, or Character Reference Letters.
Do you Wish for Your Nomination to Remain Anonymous?
Please choose the option that you desire.