Arizona Broadcasters Hall of Fame Nomination Form

1
Nominee Name:* This field is required.
First Name
Last Name
2
Brief description of career* This field is required.There will be a chance to submit more info down below. Please include all relevant experiences and justifications for Hall of Fame inclusion.
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3
Years in Arizona broadcasting:* This field is required.
Please Select
Please Select
5-10 years
10-15 years
15-20 years
30 years or more
4
Submit supporting documentsAttach bio, letters of recommendation, clips and photos/audio. The more you can attach, the better we'll be able to review this nominee for consideration.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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5
Nominator's name* This field is required.
First Name
Last Name
6
Nominator's email* This field is required.
example@example.com
7
Nominator phone number* This field is required.
Area Code
Phone Number
8
Any additional comments
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Should be Empty: