Hall Of Fame Nomination Form

The following information must be completed accurately.  The Selection Committee and/or Board of Directors may research any application. The following items must be submitted by email, mail or dropped off at the museum to support nomination:
  1. Picture(s) of nominee (5" x 7" glossy print), if selected
  2. News clipping(s) referring specifically to the nominee, if available
  3. Letter(s) in support on your nomination
  4. Other items deemed inportant
  5. Final write-up, if selected

Person or Group Making Nomination

 

Name of nominator:

 * required

Address:

Telephone number:

 * required

Email address:

Date:

Nominee

 

Full name of nominee:

 * required

Nickname(s), if any:

Place of birth & date:

Current address:

If deceased, when? Where?

Dates of residency in New Brunswick:

 * required

Family Information

 

          Spouse's name:

          Children (bracket ages):

Category:

Angler
Fly Tyer
Guide
Outfitter
Other

          If Other, please specify:

Summary of outstanding contribution to category:

Special awards, distinctions, or citations bestowed on nominee, including dates:

Other information, or a source of information, which you wish to consider important:

 
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