Hall of Fame Nomination Form

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USTA Pacific Northwest Section

Hall of Fame Nomination Form Hall of Fame Nominations - Deadline Feb 28, 2017 c Northwest Hall of Fame Committee would like to thank all of you who have nominated individuals for cult for us to respond to all of you who have submitted nominations, however we assure you that your nominations will be considered if they have been submitted to us in writing. Please keep in mind c Northwest Hall of Fame represent a highly selective group. Members cant impact to tennis over a period of time and/or be recognized for the quality of its uniqueness. The deadline for submitting nominations for the 2017 class is Feb 28, 2017. Please visit the USTA Pacific Northwest web site at www.pnw.usta.com for biographies of past inductees. Mail to: USTA/PNW Hall of Fame Selection Committee New address: 9746 SW Nimbus Ave., Beaverton, OR 97008 Deadline: Feb 28, 2017 Candidates may be nominated in the following two categories: PLAYER CATEGORY: Players will be chosen on their records of outstanding competitive achievements with consideration given to sportsmanship and character. Must be at least 35 years of age.

NON-PLAYER CATEGORY:This category honors individuals (volunteers, writers, umpires, coaches and others) who c Northwest. Must be at least 40 years of age.

Nomination Form

Please list achievements on a separate page: peers (letters or statements)

Special honors of recognition Evidence of recognition by c Northwest tennis career

c Northwest Section Hall of Fame I wish to nominate the following person: Name:

Date of Birth:

Address: City: Player

Non-Player

Living

State:

Zip:

State:

Zip:

Deceased

Dates when player was active in PNW:

SUBMITTED BY

(Name) :

Address: City: Eve:

Day:

Email:

Please use additional paper if needed, and include the name(s) and addresses of other people who would serve as additional endorsers. Thank you for submitting this nomination. Please complete this form and also submit other information that may assist the committee.