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Raise the Roof 2024
Raise the Roof | Nomination Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name of Nominee
*
First
Last
Address of Nominee
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Phone # of Nominee
*
Email of Nominee
*
Reason for Nomination
*
A photo of (1) the nominee and (2) their home is necessary when it comes time for voting. Are you able to supply the required photos now or will you provide one at a later date?
*
Yes, I can supply them now.
No, I can't supply them now but will send one in advance of the voting period and understand it is required in order for my nomination to be eligible for voting.
Be sure to immediately email photos to
[email protected]
and include the Nominee Address in the subject line.
(1) Photo of Home and (1) Photo of Nominee
*
Click or drag files to this area to upload.
You can upload up to 2 files.
How did you hear about this promotion?
*
Your Name
*
First
Last
Your Phone #
*
Your Email
*
Your Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
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