PHOTOGRAPHIC FEDERATION OF LONG ISLAND

To Honors Committee Chairperson

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                            HONORS NOMINATION
Enclosed is the information to support my nomination of:



For: Associateship ( ) Fellowship ( ) Honorary Fellowship ( ) Service Award ( )
of the PHOTOGRAPHIC FEDERATION OF LONG ISLAND (Please check one)

Name of Proposer ____________________________________ Tel. ___________________

Address ______________________________________________________________________

Camera Club_____________________________

Signature ______________________________

Name of Endorser ____________________________________ Tel. ___________________

Address ______________________________________________________________________

Camera Club_____________________________

Signature ______________________________

Name of Endorser ____________________________________ Tel. ___________________

Address ______________________________________________________________________

Camera Club_____________________________

Signature ______________________________

The endorsers should attach a short statement (one page each) as to the
principal features of the nominee’s record which warrant the Award of Honor.

The nomination should be in the hand of the Chairperson no later than 
the first week of January.