Online Nomination Form for Induction:

For Recognition in the Fresh Water Fishing Hall of Fame

FOR RECOGNITION IN THE FRESH WATER FISHING HALL OF FAME

Read the Induction Rules & Regulations before using the form below to submit on-line.
All applicable fields required. Incomplete application will be disregarded.
Email required for on-line submission.

Submitted by:
First Name of Nominator:
Last Name of Nominator:
Address:
City:
State/Province:
Zip:
Phone Number:
required * E-mail:

Induction Categories:

I submit the above candidate for consideration in the: (select one)
required *

Annual Award Category:
(If living)
First Name of Candidate:
Last Name of Candidate:
Address:
City:
State/Province:
Zip:
Phone Number:
Next of Kin Relationship:
Candidate Web page/site:

(If deceased)
First Name of Candidate:
Last Name of Candidate:
Place of Achievement:
Born (Year):
Died (Year):

Next of Kin Relationship
Address:
City:
State/Province:
Zip:
Country:
Phone:

References:
Name:
Address:
Phone Number:

Name:
Address:
Phone Number:

Name:
Address:
Phone Number:

Narrative

Please submit a concise narrative stating what the candidate did, or is in progress of doing, wherein the process has or will benefit the fishing industry or fraternity of a region, the nation, or the world.

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