NOMINATION FORM FOR THE HALL OF FAME AWARD

This form must be completed in full and contain sufficient information documenting the nominee's contributions/achievements to determine the candidate's worthiness to receive the Award. To submit a nomination, print this form, complete and return to the Allen County Agricultural Society, 2750 Harding Highway, Lima, OH 45804 by April 1, 2009.

Submitted  by:                                                                                                        

Allen County Agricultural Society Member:                                                             

Allen County Agricultural Society Address:                                                             

Allen County Agricultural Society Phone:                                                                

Simply state the contributions made by the nominee: