USCHI HALL OF FAME NOMINATION FORM

1. Provide a detailed list of the candidate's special contributions to harvesting. A biography or resume format may be used for this purpose. Please include a summary of how this person has touched people or communities through his or her involvement in harvesting.

2. List awards earned by the candidate, offices held or other honors received, along with year(s) award was given or office held, if available.

3. Please include the following with your submission:
  * A photo or engraving of the candidate, suitable for enlargement.
  * Letters of support from community members, co-workers, family and friends.
  * Additional photos, news clippings and anything outlining the candidate's contribution to harvesting.
  * Additional comments you may wish to make in support of your nomination of this candidate.

Your submission may take the form of a folder, notebook or scrapbook. However, any photos, clippings or other inclusions must be firmly attached to secured sheets, rather than placed loosely. Please place the photos you have selected for enlargement in a seperate envelope or other protector, rather than attaching it directly to any page. Secure its protector in the submission to not damage the photo.

Candidates who are not selected for induction may be re-nominated by their original nominators or others. The U.S. Custom Harvesters, Inc. will not consider nominations more than two years old without re-submission.
  

Date of Submission :
Name of Nominee :
Address :
City :
State :
Zipcode :
Home Phone :
Occupation :
Business Address :
Business Phone :
Business Fax :
Spouse's Name :
Other Family Members:
Candidate's Birthday :
Year of Death:
 
   
Your Name :
Your E-Mail :
City :
State :
Zip :
Your Phone No.:

U.S. Harvesters Inc. - 119 W. Sherman, Hutchinson, KS 67501 - Ph: (620) 664-6297 - Fax: (620) 664-6265