The Co-op Food Stores of New Hampshire and Vermont

Please use the form below to nominate a Co-op member for the 2012 Allen and Nan King Award for Community Service. All fields on the form are mandatory. Please feel free to include as much information as you feel is necessary to adequately describe the individual’s qualifications for the award.

The recipient will be announced at the Co-op’s Annual Meeting on March 31, 2012, and honored with a donation of $500 to the charity of his or her choice. Nominations are due by the end of the business day on February 6, 2012.

The Allen and Nan King Award for Community Service

I nominate the following Co-op member: *

What does this nominee do to positively affect the sustainable development of our community?: *

Who benefits most from this individual’s efforts and how do they benefit?: *

Nominated by : *

Member Number: *

Your daytime phone number or e-mail address: *

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