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2. Nominations must be submitted by December 13th at noon.

4. Name of Home Owner or Business*

   First and Last

5. Name of Nominator*
   First and Last
7. Contact Phone Number*
8. Contact Email Address
10. Nominated Home or Business Address *

    Street

11. Nominated Home's Phone Number*
13. City*
    Must be a Maumelle Address to participate
14. State
15. Zip Code
17. The home owner or business owner:*

    1. and/or nominator will be at the home on the evening of December 15th for judging and presentation of awards
    2. consents to pictures of the home being taken and published online
    3. I want to be included in the contest
    4. I do NOT want to be included in the contest
19. I will not hold the City of Maumelle or any of their employees or committee people responsible for any accidents, injury or loss of property before, during, or after the contest. By signing this form I agree to adhere to the rules and regulations of the contest, or I understand that I will not be allowed to participate.
21. Electronic Signature*
22. Date*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field