Please complete the entire form, all fields are required. Incomplete forms will not be considered. 

LOUDOUN CHAMBER
2020 VALOR AWARDS NOMINATION FORM
Deadline January 6, 2020

Please type or print neatly. Any attachments should not exceed 8.5” x 11”. The total nomination package should not exceed five pages of text (plus attachments), one-sided, on white paper. The awards will be made for acts that occurred between January 1, 2019 and December 31, 2019
Nomination Form for:
Nominee(s) Status: *



Signature of Nominator: *
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The nominator understands that the Valor Awards Committee reserves the right to determine whether recognition will be presented and that he/she may be contacted if further information is needed.  Questions regarding the Valor Awards should be directed to:

Paige Romanow, Loudoun County Chamber of Commerce, 571-209-9025

Return completed packets by mail, submission of form, email or hand deliver to: (once sent please follow-up with phone call to confirm receipt)

Paige Romanow, Events Manager
Loudoun County Chamber of Commerce
Address: 19301 Winmeade Dr, Ste 210, Lansdowne, VA 20176
Direct# 571-209-9025 / 703.777-1392 Fax
promanow@loudounchamber.org

NOTE:  Nominations for the 2020 Valor Awards are for specific acts that occurred between January 1, 2019 and December 31, 2019.  Any and all nominations received will be reviewed by the committee.

VALOR NOMINATION DEADLINE: January 6, 2020