(Please print or use typewriter)
NAME OF NOMINEE: ____________________________________ PHONE: ______________________ ADDRESS: ________________________________ CITY: _______________________ ZIP: __________ CLUB AFFILIATION/S: ______________________________________________________________ DATE OF BIRTH: __________________________ DATE OF DEATH: _____________________
What do you consider the nominee’s most important achievement/s in horseshoes? Player:
What recognition has the nominee received for: Playing Ability, Leadership, Administration, Etc.?
What services, etc. has the nominee rendered or contributed toward the advancement and/or support of the sport of horseshoes?
In which category do you recommend the nominee be considered?
Player ___, Promoter/Organizer ___, Player/Organizer ___.
Submitted by: ______________________________________________ Date: ______________
Please refer to MOHPA HOF Standard Operating Procedure regarding HOF nomination and selection procedures before submitting your nomination – available at www.MOHPA.US or an MOHPA officer.