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Miami Valley Peace Maker Award
NOmination Form

General Information

First Name of the Nominee*

Last Name of the Nominee*

Contact Email of the Nominator*

Basis of Nomination

Why do you think your nominee should win the Miami Valley Peace Maker Award?*

How do you know the nominee?*

Do you have a specific story you would like to share with us?

Is there anything else you would like to share?

Do you have any documents/ photos you would like to share with us?

I have read and accept the Terms and Conditions for the Miami Valley Peace Maker Award

Do you have any more questions?
Contact us now!

info@daytonpeacemuseum.org

+1 (937) 227-3223

The
INternational
Peace Museum

+1 (937) 227-3223
info@daytonpeacemuseum.org

10 N. Ludlow St.
Dayton, OH 45402

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