Ohio Elks Association
Submit Elk Hall of Fame Nomination Form
due March 1, 2007
CONTACT davidmixelks@yahoo.com For More Information  

David A. Mix
5206 Camp Rd.
Ravenna, Ohio 44266
H 330-296-2372
W 330-714-7343
E-mail davidmixelks@yahoo.com
Ravenna Lodge #1076
Just complete this form. Click on Submit when ready to send.
(The Elk Hall of Fame is awarded for a member's service to his or her community,
while furthering the Cardinal Principles of Charity, Justice, Brotherly Love and Fidelity.
Please be sure the nomination reflects the member's civic accomplishments, not
Elk-related accomplishments. Photographs, newspaper articles, and other supporting
documentation may be included with this nomination, but they are not required. Please
type or print in ink. Use the back of this page or submit an additional page if needed.
Please limit the nomination to a maximum of 500 words.)
Name of Nominee
for Elk hall of Fame:
Presented by:
Lodge Number:
Exalted Ruler:
Secretary:
 
Is deserving of the Elk Hall of Fame Award because: