CENTURY CLUB NOMINATION
Sandy Spring Slave Museum recognition of community members that are 100 years or older.
Your name (Last, First) *
Your phone number *
Your email address *
Nominees Name (Last, First) *
Nominees birthdate *
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DD
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Name of kinship community nominee is linked to: *
Something notable about nominee.
Nominees phone number *
Nominees email
Who is the best person to contact for additional information? Provide Name and contact info. *
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