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f. <br /> 5 <br /> Orange County Conservation Award <br /> 2002-03 Nomination Form <br /> The Conservation Award is an bi-annual award that recognizes individuals and organizations that have <br /> shown a sustained and outstanding commitment to conservation of natural and cultural resources in Orange <br /> County. The recipient can be a landowner,concerned citizen,member of a private organization(business <br /> or non-profit),or any other person who has worked towards natural or cultural area conservation. <br /> To nominate an individual for this award,please fill out the form below and return by email,fax,or mail to: <br /> Environment and Resource Conservation Department <br /> PO Box 8181 <br /> Hillsborough,NC 27278 <br /> Phone: 919/245-2590 <br /> Fax: 919/644-3351 <br /> Email: cmelton @co.orange.nc.us <br /> Supplemental materials,such as photos of a preserved property or public relations materials the individual <br /> produced that generated a lot of positive feedback,may be included.The award will be presented at the <br /> Orange County Environmental Summit on March_ 2003. <br /> Deadline for Submitting Nominations is <br /> Nominee <br /> NAME: <br /> ADDRESS: <br /> CITY/STATE/ZIP: <br /> DAYTIME PHONE: <br /> E-MAIL: <br /> Submitted By: <br /> NAME: <br /> ORGANIZATION: <br /> ADDRESS: <br /> CITY/STATE/ZIP: <br /> DAYTIME PHONE: <br /> E-MAIL: <br /> Please submit a brief narrative(600 words or less)clearly explaining how the individual nominated is <br /> an exemplary conservationist and why he/she should receive the Conservation Award. <br />