Please complete this form for your chance to receive a dozen free Titleist Pro V-1 golf balls or a $50 restaurant gift certificate.  If you are the first person to recommend the nominee and they are selected to participate in the Fair, you will receive one of these gifts.

Nominator Information
Your Name:	*
Name of Firm:	*
Email:	*
Phone:	*
Date Submitted:	*
Gift Preference:	Golf Balls Restaurant Certificate *
Your Nominee
Complete Name of Company:	*
Company Contact:	*
Street Address:	*
City:	*
State:	*
Zip code:	*
Phone:	*
Fax:
Email:	*
Website:
Additional Comments:
Fields marked * are mandatory