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* 1. What is your full name?

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* 2. Please provide your email address for contact purposes.

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* 3. What is the name of the SweepStar you would like to nominate for Mother’s Day? (Please provide full name).

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* 4. In which city does your SweepStar provide services?

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* 5. Please tell us why you believe your SweepStar deserves recognition for Mother's Day.

Before completing this form, please note that by submitting your nomination, you agree for SweepSouth to share the information provided on social media.

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