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2. Municipal Officials Hall of Fame Nomination Form
   Inductees must have completed at least 20 years as an elected municipal official by June 30. This recognition is on-going. If you will complete 20 years of municipal elected service this year, but after June 30, you are eligible to be inducted into the Hall of Fame the following year. Terms of service need not be consecutive.
4. Municipal Official*
6. Title*
8. Municipality*
10. Phone
12. Email*
14. Total Number of Years Served*
16. Dates Served*

    Example: June 2003 - June 2023

18. Status

    1. Living

    1. Deceased
20. Name of Official Submitting Nomination*
22. Please note:
    MML does not keep track of candidates eligible for the Hall of Fame. Nominations are dependent upon forms received.
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field