Inductee Nomination Form

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

NOMINEE INFORMATION

Name

Address

Phone Number

Email Address

Date of Birth

Place of Birth

Date of Death (if applicable)

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

Past and Present Club Memberships (including years)

Please include the following with the nomination form:

List of golf-related 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

Name

Address

Phone Number

Email Address

Relationship to nominee

Is the nominee aware of your nomination?
YesNo

Submission date

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