Love Energy Savings Awards 2016 Nomination Form

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* 1. Who are you Nominating?

Your Name

Name of the Company Nominated

Address of the Company Nominated

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Your Email Address

Your Phone Number

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* 2. Please Select A Category

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* 3. In no more than 250 words, why should your nominee receive a Love Energy Savings Award?