Nomination Form
Thank you for nominating a "Remarkable Republican".  Please take a moment to complete this form as best as possible.  The nominating committee will review and contact you with any additional questions.  Don't worry if you don't have all of the requested information, because we can gather it in a future interview with the nominee. 

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Name *
E-mail Address *
Your phone number:
Nominee's Name
Nominee's Phone Number
Nominee's email address
Briefly describe why person should be featured:
Briefly describe this person's background (work, family life, activities, etc.):
Additional comments:
How do you know this person?
May we tell the nominee you nominated him/her? Yes
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Official site of the Mesa County Republican Party located in Mesa County, Colorado.

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www.MesaCountyRepublicans.com