Beautify Southern Illinois

Beautify Southern Illinois Award Nomination Form
PDF Version (Requires Adobe Reader)

Know of a person or group helping to keep Southern Illinois clean? Pat them on the back and nominate them for a Beautify Southern Illinois award.

Category:	Individual Company/Civic Group/Government

Name of Nominee:

Address:
City:
Zipcode:

Why do you think this person, community or organization deserves to be honored? Please feel free to e-mail any photographs, including before-and-after images to: restivo@cehs.siu.edu. (Note: Please limit attachments to 10 MB max.)


Nominator's Information

Name:

Address:
City:
Zipcode:

Telephone Number:

E-mail:



What will the winners of the award receive? Winners will be featured in an article on the Beautify Southern Illinois web site and will receive a certificate of appreciation. Return printed PDF nominatons to: Paul Restivo Southern Illinois University Carbondale Beautify Southern Illinois Regional Campaign 1325 Radio Drive, Mail Code 6898 Carbondale, Illinois 62901 If you have any questions, please e-mail: restivo@cehs.siu.edu

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