Nominate
Nominate
Enter a person or organization deserving of the $250 donation from River Valley Credit Union by filling out the form below.
General Information
*
Your First Name
:
*
Your Last Name
:
*
Your Email
:
*
Confirm Email
:
*
Your Phone
:
*
Organization Name
:
Name of the organization you are nominating
*
Name of your nominee
:
Contact person at organization
Nominee's email
:
Contact's email address
Nominee's phone
:
Contact's phone
Submission Information
*
50 Words Or Less Why Organization Should Win
:
Words Remaining:
Code Verification
Please type the following code in the box below it. The field is not case sensitive.
*
The Code
:
Incorrect, please try again.
Enter the words above:
Enter the phrase you hear:
Get new words
Read words to me
Show me the words
Help
Double check to make sure your entry is correct and then hit submit below.
By submitting the form you are confirming you are at least 18 years of age and have read and agree to our
terms of service
and
privacy policy
.
Official Rules
Help
Feedback
Pay It Forward
Powered by ©
UPICKEM
All rights reserved.