Wanda Klimke Memorial Award Nomination Form

Nominee Name
First Last
Nominee's Address
City
Nominee's Phone (if known)
Nominee's Email (if known)
Documentation
Please name the board or boards the nominee served on:
Please name committees served on:
Please name executive positions the nominee has held:
How many years of service, as close as possible, did this nominee serve?*
Provide a brief overview of the nominee’s contributions to the farmers’ market community:*
Why did you choose to nominate this individual for this award?*
Your Name
First Last
Your Phone Number
Your Email
Your relationship to the nominee:
- Customer
- Fellow vendor
- Market manager
- Board member
Are you a human?

Documentation