2012 Outstanding Senior Citizen Award Nomination Form

To nominate an outstanding senior citizen, print and complete this form, then mail it to:
Kathy Franson, 1004 W. Meadow Lane NW, Alexandria, MN 56308
OR
Rachel Barduson, 1219 Nokomis St., Alexandria, MN 56308

DEADLINE: July 15th, 2012

If you have problems printing the form directly from this page, download the PDF by clicking here and print it locally.