Greater Picayune Area Chamber of Commerce

Nomination Form

2008 CIVIC CLUB OF THE YEAR

Name of Organization:

President's Name and Phone Number:

Date organization was established:

Number of members:

Briefly summarize the organization's activities from November 2007 through October 2008.  Include main purpose and goals of the organization, specific projects and dates, and the various contributions made to the community.  If extra space is needed, please continue on a separate sheet and attach to this form.  Deadline for submitting nominations is October 17, 2008 at 4 PM.  Deliver completed form with any attachments to the Chamber of Commerce at 201 Hwy 11 N, Picayune; mail to the Chamber at P.O. Box 448, Picayune, MS  39466; or fax to the Chamber at 601-798-6984; or email to chambercommerce1@bellsouth.net.

Nominator's name:                                                                                Phone No.: