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2. Individual or organization nominated:
4. Name:*
6. Address:*
8. Contact number:*
10. 
    Individual or organization making the nomination:
12. Name:*
14. Address:*
16. Contact number:*
18. 
    Check the appropriate Cornerstone(s) the nominee has supported:
    
20. Check one to four:*

    1. Town identity
    2. Community planning
    3. Community services
    4. Local economy
22. 
    How has the Nominee supported the above-named Cornerstone(s):
    
24. Explain: *
26. 
    Submit nominations to:
28. Castle Rock Town Clerk
    100 North Wilcox Street
    Castle Rock, Colorado 80104
    
Leave This Blank:


29. Print Only

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