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Farm Equipment/Rural Lifestyle Dealer 2011 Dealership of the Year Nomination Form

1.

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* 1. Dealership Name:

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* 2. Please provide the following information for nominated dealership.

Contact Name: *

Address:

City/Town: *

State: *

Email Address:

Phone Number:

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* 3. Why should this dealer be chosen for Farm Equipment's or Rural Lifestyle Dealer's Dealership of the Year Award?

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* 4. Please provide us with your contact information if different from above.

Name:

Company:

Email Address:

Phone Number: