TREE DEDICATION NOMINATION REQUEST

The Kiwanis Club of Middletown, in cooperation with the City of Middletown, is offering the opportunity to dedicate a tree in honor of, or in memory of, an individual whose actions or deeds have positively impacted the Middletown community. The tree shall be planted in Middletown and shall be identified by a dedication plaque which will name the honoree. Please fill out and submit the form below to make your nomination. This program is funded by the Kiwanis Club of Middletown. Thank you for your nomination!

Please be advised that all nominations are due by March 31st each year.

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Nomination Request

Print name including Rank, Title or Affiliation exactly as you want it to be printed on the dedication plaque.
In a few words, please explain why you would like to nominate this individual.




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PO Box 752, Middletown, NY 10940 [email protected]

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