Front Page Awards Entry Form

Category *

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Name(s) of entrant(s) and job titles *

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Title(s) of story or series *

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Date(s) of Publication*_______________________________________________

Employer's Name *__________________________________________________

Employer's Address *

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Employer's Telephone________________________________________________

Name of Submitter/Awards Coordinator *_________________________________

Email____________________________________Phone_____________________

Name of Awards Dinner Contact (if different from submitter contact)

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Email_____________________________________Phone_____________________