ࡱ> C  !"#$%'()*+,-./0123456789:;<=>?@ABEFGHIJKLMNOPQRSTUVWXYZ\]^_`abcdefghijklmnopqrstuRoot EntryFIrAObjectsDrAIrAQuill  DrAIrAEscher DrAIrAVBADrADrAEnvelope Internal Contents&l8CompObj^SummaryInformation( x>DocumentSummaryInformation8EscherStm D-՜.+,0h8@ HPX`G  FMicrosoft Publisher 3.0MSPublisher.39q OQuill96 Story Group Class9qOh+'0H> (DBrenda FellhoelterG=    jC jj(j`9ʦ @ ` @@ @@@`@@@@`` `@`````` @` @` @` @`@@ @@@`@@@@@ @ @ @@ `@ @ @ @ @@@@ @@@@@`@@@@@@@@@`@` @`@@``@`@`@`@`@@ @@@`@@@@@@ @@@`@@@@@@ @@@`@@@@@@ @@@`@@@@ @` @ ` @@ @@@`@@@@`` `@`````` @` @` @` @` @` @ ` @@ @@@`@@@@`` `@`````` @` @` @`,l80: h     l8 C:\Documents and Settings\Owner\My Documents\News Stories\Chamber\awardnominationform.pub 0 :          0   0   0   0   0   0   0   0    0    0    0    0    0   0   0   0   0   0   0   0   0   0   0   0   0   0   0   0   0   0   0    !  0 "  #  $  %  &  '  (  )  *  +  ,  -  .  /  0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   @  0  ABC   D   E  0 F  0 G  H   I  0 J  0 K  0 L  0 M  0 N  0 O  0 PQRS  0  T  U  0 V  0 W  0 X  Y   Z  0 [  \  0 ]  0 ^  0 _  0 `  0 a  0 bc  0 de  0 f  0 g  0 h  0 i  j  0 k  0 l  0 m  0 nop  0 q  0  r  0  s  0  t  0 u  0 v  w  0 x  0 y  0 z  0 {  0 |  0 }  0 ~  0      0      0   0   0  (pp p ppppp  v zp!ppp p!p"p# *8;EBʼ8Xj,-1h9< A vp \ \( p p A Master Page A  J J  < ,someone@example.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgi :p.p5p&p'p(p)p,p-p+ \ \(p# p  p  h  J J< ,someone@example.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgiZ h! ( p p h  xU D  < ,someone@example.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgiZ \ \( p p h  J J  < ,someone@example.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgiZ \ \( p p h  J J  < ,someone@example.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgi"ppp:  | p h- h, h( h' h& h+: ."  X| X|  X| X|  X| X|  X| X|  X| X|  X| X|"  X| X|   X| X|  X| X|~ Zx    f   f  f3  Bluebird x$ v zAdobe PDF winspool *My Documents\*.pdf  Adobe PDFt 1300 PCL 6S odLetterPRIV ''''0\KhCDk0EBDAStandard L v z    p  |"#X     M g g  F D  h   v z 0e 0e PS PS PS PS" Symbol" PSSymbol" Symbol" Symbol" Symbol"* Symbol p$p"4 "   & :  4 "   & :   <h  ((8  ((>h (?( vz |80 (D (' +,- ?h @:0 (B (' +,5  p :0 (< (' +,5  p :0 ( (' f g h gi ,kp3m g g g g $  X     Z    [    M!  %  I(  , p 60 ( (' +, g v :0 (' (' +,5  B P0 ( (' +,-F Gh.h5 ?g {J0 ( (' *f g h Vfi kp7m 9 9 r" 9 3 9 D 9 U 9 Vf 9 6\ 6\ l 6\   6\ p 6\  p ^T( @  |4   4X  |4   @  |@     4X  |4   @  |@     4X  |B 8" =U c c c c.   =U c c c c.   =U c c c c.   =U c c c c.   =U c c c c.   =U c c c c.   =U c c c c.   =U c c c c.   =U c c c c.  =U c c c c.  =U c c c c.  =U c c c c0 ( (' *f g h gi kp2m^   g LP @ @ " @  @p l b.  @  |4   4X  |:    @  |@     4X  |:    @  |@     4X  |:    @  |@     4X  |:      |@     4X  | r0$Times New Roman    Hz@  ^Arial    Hz@   ^Symbol     H lGill Sans MT    H    ; :xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxDJ rhxshxFhT hCh `h wh Ch `lh wph  Ch `h  wh  YLhCPh `h wh hCh `Nh wXh [h ah e2h \lh xKh O!h! L!h! Jt"h" XZ#h# Mp#h!# M#h # Z#h!# x$h $ $h $ $h $ 0%h % xj&h & &h & &h & *'h ' xxxcB(h5( c)h)) x+h + xc,h., xxl.h. QuillSubODrADrAEscherDelayStmCompObjVCONTENTS[6( / $ `"<@B@B@0 0(   2  #  ?"@@ $#~ (    Z"H`@@@B@B:B  N"<@B@B:    T"H @@@B@B: h)  T"H @@@B@B:h)   T"H @@@B@B:h)   T"H @@@B@B:h)   T"H @@@B@B:h)   T"H @@@B@B:h)    T"H @@@B@B:h)    T"H @@@B@B:h)    T"H @@@B@B:h)    T"H @@@B@B:h)    T"H @@@B@B:h)   T"H @@@B@B:h)   Tg "H @@@B@B: h)   Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     Tg "H @@@B@B:"" h)     T"`` @B?@B:(( h.      T"`` @B?@B:(( h.      T"`` @B?@B:(( h.      T"`` @B?@B:(( h.       T"`` @B?@B:(( h5     ! T"`` @B?@B:(( h5     " T"`` @B?@B:(( h.     # T"`` @B?@B:(( h5       (  L  # lccccC"x@@ ``@B   ? @BK:  L  R4 [: h&:  L  # lccccC"x@@ ``@B   ? @BK:  w sI ): h':  L  # lccccC"x@@ ``@B   ? @BK: sB" w K3 ): h(:  "  3 r"H @@@B@B:  n 3 =: h):  L  # lccccC"x@@ ``@B   ? @BK: sI w sB" ): h,:  L  # lccccC"x@@ ``@B   ? @BK:  c 3 ފ : h-:    T 0"`@@@BK @B:  ƒ 2 P: h.:    T0"`@@@BK @B:  O R4 : h5:  4    `#"l@@@@@B?@B:  4> 3 H: h+:  CHNKINK 64TEXTTEXT STSHSTSH STSHSTSH TSTSHSTSH. <FDPPFDPPFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCSYIDSYID,SGP SGP ,INK INK 0BTEPPLC 4BTECPLC LHFONTFONTTCD PLC < Nomination Form Award for which the individual or business is being nominated (circle one, or if returning by email, make the choice red text). An explanation of the criteria for each award is located on the attached separate page. Chamber Business of the Year Personal Community Service Award Chamber Person of the Year Lifetime Achievement Award Citizen of the Year Award Please briefly state in the space provided why this business or individual deserves recognition. If your nominee is chosen as a finalist, you may be contacted and asked to furnish additional information. CHAMBER AWARDS NOMINATION FORM This Individual or Business Deserves Recognition Because: Nominee s Name: Occupation: Address: Phone: Name & Type of Nominee s Business (if applicable): Your Name: Your Phone No.: Your Email Address: If you have MS Publisher on your computer, you may save this form, complete it, and email it back to office@chillicothemo.com. If you don t have MS Publisher, then download the PDF version of this file, print, complete, and fax back to the Chamber office at 660-646-3309. Another option is to submit your entry by completing the online form found at www.chillicothemo.com/awards.htm today! Thank you. H1@H14( "$           ,9"D "H "p0(H1||>" p "!" $T,7 >"  "  " 7 .  8:(j  `24JLnp zrjjjjjjjjJjJ 2'( """1"1D" " "|"1"1W"""X""1"1"1"18:&Tl "!" $T,>" f "!" $T,h "p" $T,h "0" $T, " 4:*Vh "!" $T,l "!" $T,>" f "!" $T,p "!" $T,8 >"  &(hj &TTTTTf "!" $T,l "!" $T,>" l "" $T,9"n "!" $T,>"   2bh "p" $T,h "!" $T,8 h "!" $T,f "p" $T,.DJ "D["  $6R "D["   $6N "D["  $6l "" $T,9"f "!" $T,`.024HJLl((((((( "  " 7 p "!" $T,7 >" j "!" $T,7 n "|" $T,9"| lnp xH`" $T,j " $T,8 >" f" $T,>" p "!" $T,7 >"  "  " 7   tt  l z+1Pt2D\rTimes New RomanSylfaenMangalVrinda Raavi Shruti Sendnya Latha GautamiTunga Angsana NewBatang MS MinchoPMingLiUSimSunEstrangelo EdessaMV BoliSymbolArial Gill Sans MT   *+34hj 13  I:j3 "  "|"r-"+"-"."?h"@"c"c"c "c "  """ """ " "|"Q+"+"f+"N,"p" "c"c"c "c "  """ """ " "|"Q+"."f+"."p" "c"c"c "c "  """ """ " "| "-"+"-"."g"=U"c"c"c "c "  """  """ ""-"+"-"."g"["c"c"c "c "  """  """ ""-"+"-"."g"Z"c"c"c "c "  """  """ ""-"+"."."g"["c"c"c "c "  """  """ ""."+"."."g"Z"c"c"c "c "  """  """ ""!."+"8."."g"["c"c"c "c "  """  """ "";."+"Q."."g"["c"c"c "c "  """  """ ""T."+"k."."g"["c"c"c "c "  """  """ ""n."+"."."g"["c"c"c "c "  """  """ ""."+"."."g"["c"c"c "c "  """  """ ""."+"."."g"E"c"c"c "c "  """  """ ""."+"."."g""c"c"c "c "  """  """ " "|"."+"$/"."g"v """ " "B  """ ""5%" " "|"Q+"N,"f+"."B" "c"c"c "c "  """ """ " "|"n+"+"q-"."?g"{J"c"c"c "c "  """ """ " "| "+"+"+","r""6\""" " "  """  """ ""+","+"."D"I""" " "  """  """ ""+"+"+","r""6\""" " "  """  """ ""+","+"."D"7""" " "  """  """ ""+"+"+","r""6\""" " "  """  """ ""+","+"."D"7""" " "  """  """ ""+"+",","r""6\""" " "  """  """ ""+",","."D"7""" " "  """  """ "","+"@,","r""""" " "  """  """ "",",">,"."D"""" " "  """  """ " "|"$-"+";-"j,""@""" " "  """  """ ""$-"k,":-"."LP"~""" " "  """  """ ""<-"+"T-"j,""@""" " "  """  """ ""=-"k,"S-"."LP" l""" " "  """  """ ""U-"+"l-"j,""@""" " "  """  """ ""V-"k,"j-"."LP"qY""" " "  """  """ "*""" "",TCD PLC 4TCD PLC !$STRSPLC