NOMINATION FORM

Deadline: Tuesday, Feb. 10th!

It’s time to nominate someone you feel is deserving of a special award.

(Check One)

_ Man of the Year _ Woman of the Year _ Employee of the Year

Your Name/Business Name:____________________________________________

Address ___________________________________________Phone:___________

Name of Nominee ___________________________________________________

Attach a letter describing why the person you feel is deserving of the award you are nominating them for and list

his/her duties or activities and why you think they deserve to win. Send nominations to 201 S. Broadway, Poteau,

OK 74953.

Deadline for nominations is February 10, 2009