Silver Eagle Nomination

Name of Nominee
Street or Mailing Address
City, State, Zip Code
Telephone Number
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Number of Years Nominee Has Served Agriculture
Particular Fields of Agriculture in Which Nominee Has Been Active
Contributions to Nebraska Agriculture
If Applicable, List Outstanding Achievements in Education, Science, Agribusiness or Production Agriculture
Leadership Positions Held by Nominee
Other Pertinent Information
Attach Any Additional Information Here
Nominator's Name
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Nominator's Email Address
Nominator's Phone Number
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Thank you for your nomination!
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