Reporting Chapter:
Commanding Officer:
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Email Address:
Nominee's Name:
Nominee's Chapter:
Nominee's Rank:
Nominee's SCC#:
Award Requested:
Chapter of the Year Award
Flag Officer of the Year Award
Commanding Officer of the Year Award
Officer of the Year Award
Enlisted Member of the Year Award
Website of the Year Award
Chapter Charity Award
Basis for Recommendation:
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