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Spirit Lifters Nomination Form

  1. Spirit Lifters Header
  2. Nominate Someone Who Needs a Little Cheer
  3. Without disclosing protected information, please briefly explain the reason for this nomination. 

  4. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your submission will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, 4) this submission is made in good faith that the recipient of letters/cards will be receptive to this project, and 5) you take full responsibility for this nomination, and letter delivery to the person nominated. 

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  6. This field is not part of the form submission.