Northern Hills Community Friends Nomination Form
This Program is currently available in the Black Hills area only.


Name of individual, business or not-for-profit organization:
Address and Phone Number of individual, business or not-for-profit organization:
Briefly list 5 outstanding qualities of this individual, business or not-for-profit organization:

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5.

In 50 words or more, please tell us why this individual, business or not-for-profit organization should be selected as the Northern Hills Community Friend of the Month:
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Your name and phone number:
Name:
Phone: