BADGERS THEN AND NOW

BTN Officer Nomination Form
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Name of Nominee
Title / Profession
Degree(s) and Year (Must be a graduate)
Address
City
State
Zip
Home Number
Work Number
Outline Summary of Achievements
Nomination Category: Academic/Business
Sports (Name of Sport/Years)
Name of Nominator
Degree(s) and Year
Address
City
State
Zip
Home Number
Work Number
  

FORWARD TO:
C.R. Wormsby, BTN Event Manager
c/o The Classic Impression, Inc.
5221 Medford Circle
Mobile, AL 36693-5058