2020 Women of Distinction Nomination

Assemblymember Harry Bronson currently seeking nominations for his Women of Distinction Awards, which honor outstanding women in the 138th District.

Title
First: *
     
Mid:
Last: *
     
Suffix:
Email:
Address: *

     
Apt #:
City: *
     
State: *
     
Zip: *
Phone:
Mobile:
* Indicates Required Field

1.
Name of Nominee
2.
Address of Nominee
3.
Phone Number of Nominee
4.
Email of Nominee
5.
Please give a description of the nominee and her contribution to her community