Inductee Nomination Form

Deadline for submission of completed nomination form for the following induction is April 15.

NOMINEE INFORMATION

Nominee Name

Nominee Address

Nominee Phone Number

Nominee Email Address

Nominee Date of Birth

Nominee Place of Birth

Nominee Date of Death (if applicable)

Nominee Number of Years as a Virginia Resident and Cities of Residence (including years)

Nominee Past and Present Club Memberships (including years)

Please include the following with the nomination form:

List of golf-related Nominee accomplishments and awards

Why do you think the Nominee is worthy of being inducted into the Virginia Golf Hall of Fame? (300 words or less)

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NOMINATED BY

Your Name

Your Address

Your Phone Number

Your Email Address

Your Relationship to Nominee

Is the Nominee aware of your nomination?

YesNo

Submission date

Please type the characters you see below:

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