TEST CAPITOLFEST FORM - Capitol Arts Complex

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TEST CAPITOLFEST FORM - Capitol Arts Complex

Nominee Name

Primary Contribution To The Arts

Arts Organization Affiliations (if appropriate)

Describe briefly why you feel the nominee should be considered for induction into the Rome Arts Hall of Fame. Include Rome “connection” if not obvious.

Nominator Name *

First

Last

Mailing Address

Email

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Phone Number

Subject *

Message *

Phone