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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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