Electronic Nomination Downloadable Form for Induction

For Recognition in the Fresh Water Fishing Hall of Fame

Read the Induction Rules & Regulations before using the form below to submit on-line or download (PDF) to submit by mail.
Fresh Water Fishing Hall of Fame, P.O. Box 690, Hayward, Wisconsin 54843.

All applicable fields required. Incomplete application will be disregarded. * Email required for on-line submission.

NOTE: Deadline for nomination applications is July 1st, to be acted upon for the following year’s induction honors.

Submitted By:

First Name of Nominator:

Last Name of Nominator:

Text field

Email address*

Nominee:

(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.

Your Narrative:

Required: enter the letters/numbers below:

For Recognition in the Fresh Water Fishing Hall of Fame

Location:

Hours:

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