Hall of Fame Nomination Form

Nomination forms remain active for five years from submittal date.
Nominee Name:(*)
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Personal Information on Nominee:
Address:
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Phone Number:
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If Deceased:
Year of Birth:
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Year of Death:
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Please list nominee's accomplishments or reasons (in as much detail as possible) you feel he/she should be inducted into the Long Beach Golf Hall of Fame.
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Nominated by:
Name:(*)
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Address:
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Phone Number:
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*Denotes Required Field