Nomination Form

Or Fill Out Online

Please complete the information below and submit this form at least 1 week (5 business days) before the meeting. You can also send it by email to contact@100menwhocaresouthernmaine.com

Please include the organization's mission statement, populations served, how they would intend to use and any other pertinent information below:

Please list why you would want to nominate this organization or any experiences you have had with it that makes it special.

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The organization agrees to not use, give, or sell the contact information of our members for additional solicitation by them or other organizations.If selected, organization agrees to sign and abide by the terms of the Charity Organization Donation Agreement.
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