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Inspiration Awards - Nomination Form



Submissions accepted June 1 — August 31, 2014

Please note that you will be unable to make changes to this form once you have submitted it. Please check your nomination for completeness and accuracy prior to submission.

In order to be eligible, you must let your nominee know you are submitting his/her name for this award.

What is your nominee's full name?*

If your nominee does not have an email address, please use your own.

I certify that my nominee has consented to this nomination.*

Please tell us how this person inspires you. Be sure to include specifics, so we get a full picture of why your nominee deserves this award. Limited to 4,000 characters; approximately 600 words.*

What is your relationship to the nominee?

Selected nominees will be notified on December 15, 2014, and verified winners may choose a 4-night stay at Canyon Ranch health resort in Tucson, Arizona, or Lenox, Massachusetts, anytime between January 1, 2015 and February 29, 2016. A $300 prepaid credit card will be provided at check-in for travel or other expenses. Award is valued at $3,900; recipients are responsible for taxes on this gift and will receive a 1099 IRS form.

A purchase will not improve your chances of winning. Open to legal residents of the fifty (50) United States and the District of Columbia who are eighteen (18) years of age or older at the time of nomination. Void where prohibited or restricted by law. Promotion begins on June 1, 2014, and ends on August 31, 2014. Applications must be received by 11:59 P.M. Pacific Time on Sunday, August 31, 2014. Nomination and award restrictions apply. See Official Rules for complete eligibility requirements and award details. For Official Rules, click here.