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MERITORIOUS SERVICE AWARD NOMINATION
Proposed Recipient's First Name
Proposed Recipient's Last (Family)
Name
Proposed Recipient's District
Governor
Proposed Recipient's Mailing
Address
Proposed Recipient's Zonta Club
Proposed Recipient's District
Number
Proposed Recipient's Club Number
Year Proposed Recipient Joined
Zonta
Highest Zonta Office Held by
Proposed Recipient
Details of Proposed Recipient's
Zonta Service at the international
level
Rev Sept 2018 2
Suggested
date/event/venue/presenter if a
plaque is to be presented.
Proposer's First Name
Proposer's Last (Family) Name
Proposer's Telephone Number
Proposer's Fax Number
Proposer's Email Address
Proposer's District Number
I have consulted with my District
Governor, and she has approved
the submission of this proposal.
Please note:
Refer to the Meritorious Service Award Guidelines for criteria.
Nominations will be considered at Zonta International Board meetings only.
Nominees should not be advised in advance of the nomination.
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signature
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