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Pioneer of the Year

Nomination Form

 

 

 

YOUR NAME _____________________________________________

         ADDRESS __________________________________________

         CITY _________________________ STATE ____  ZIP ______

 

 

Nominee's Name _________________________________________

 

Reason for Nomination:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail this form to:

MINNESOTA TERRITORIAL PIONEERS

176 SNELLING AVENUE NORTH, SUITE 328
SAINT PAUL, MINNESOTA 55104-6338