We are reaching out to our Chamber membership for nominations for the prestigious “Person of the Year” award. Our objective is to find a person who is committed to the overall mission of the Chamber of Commerce and who has made a positive impact on our community as a whole.

We ask that you bring our attention to an individual whom you feel is an outstanding citizen by completing this nomination form and returning it to us by October 19, 2012. The recipient will be honored at our Annual Meeting in November.

Please type or print.

Nominee:

Name: _________________________________________________________________

Title/Position: ___________________________________________________________

Company: ______________________________________________________________

Address: _______________________________________________________________

Phone: _________________________________________________________________

ACCOMPLISHMENTS:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(Please provide any additional information on a separate piece of paper.)

Nominator:

Name: _________________________________________________________________

Company: ______________________________________________________________

Signature: ______________________________________________________________

PLEASE RETURN TO:

4 West St.

Franklin, MA 02038

508-528-2800

F: 508-520-7864

             OR

42 Union Street

Attleboro, MA 02703

508-222-0801

F: 508-222-1498