Nomination Form

2000 Free Speech Award Nomination Form Submit no later than July 12, 2000 to:
Dr. Marketta Laurila Free Speech Award Committee
c/o Interfaith Alliance for Justice
PO Box 6468, Asheville, NC 28816

NOMINEE

Name:___________________________________________________________________________________________ Address:________________________________________________________________________________________ ________________________________________________________________________________________________ Telephone:____________________________Fax:______________________________________________________

e-mail:_________________________________________________________________________________________

NOMINATING GROUP OR INDIVIDUAL

If you prefer to remain anonymous, please check here_____

Please write a brief statement describing the activities of the nominee that qualify him or her for the Dr. Marketta Laurila Free Speech Award. Eligible nominees shall be residents of Western North Carolina who have taken action, despite personal risk, towards defending their own or others' right to free speech during the past three years.

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