Nominate — The Liberators

Liberator Nomination Form

Please fill out ALL of the fields below. Nominations end on Nov. 30th. The Finalists for each category will be announced at a future date.

Your Name

First Name

Last Name

Your Email

Your Phone

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Nominees Name

(If you are nominating an Organization/Business/Group please use First Name area)

First Name

Last Name

Nominees Email

Nominees Phone Number

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Catageory

Please choose from the following categories below:

Reason for Nomination:

(Tell us why you think they are a Liberator, what motivates them to go above and beyond? This is what people will see when they are voting.)