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Madison Area Soccer Hall of Fame Nomination Form
Name of Nominee
Mailing Address of Nominee
Email Address of Nominee
Phone Number of Nominee
Category of Nominee - select all that apply
Please share relevant experience and accomplishments.  Include dates and statistics when appropriate and available.
Contact information for individual or organization submitting this nomination
Email
Phone number
To the best of my knowledge the nominated individual is/was in good standing with the Madison-area soccer community and his/her consideration is not compromised by any ethical concerns (please provide your initials and date here):
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