NOMINATE A SPECIAL HERO
Enter Your Name Enter Your E-Mail Address Enter Your Telephone # (optional) Enter Your State Enter Name of Nominee Nominee is AdultSenior Citizen ChildTeenager Their Country State Your Relationship to Nominee FriendNeighborCo-WorkerEmployerRelativeOther If 'Other', please explain (optional) Please describe why this person is a Special Hero If additional room is needed, please continue here How Can We Contact This Person? If there is an article on this person already on the Internet, please give us the website/s
We ask that you send us any other documentation of this hero's efforts by email or US mail service. By email, simply send them to us as attachments, when sending this form. Send to: nominations@specialheroes.com. By US mail, send to: Nominations, Special Heroes, PO Box 603002, Providence, RI 02906
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