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Member of the Month Nomination form
Order Number
Nominee:
Name of person being Nominated
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Nominee's Email
Nominated By:
Name
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Email
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Is the nominee an NJELSA Member or Code Official?
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NJELSA Member
Code Official
N/A
Is the nominee an NJELSA Board Member?
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Yes
No
Please describe in 100 words or less why you think this nominee desrves to be the NJELSA member of the Month.
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