BEST PERSONALITIES & PEOPLE:
 
Best Farmer (first and last name): 

Their Address: 

Daytime Phone Number: 

 
Best Philanthropist
(first and last name): 

Business's name (if applicable): 

Business Address: 

Daytime Phone Number: 

 
Best Politician (first and last name):

Their Address: 

Daytime Phone Number: 

 
Best Public Servant
(first and last name): 


Business's/Agency name (if applicable): 

Address: 

Daytime Phone Number: 

 
Best Fire Department  


Phone Number: 
 
 

 

Best Teacher (first and last name): 

School: 

Address: 

Daytime Phone Number: 

 
Best Waiter/Waitress
(first and last name): 

Business's name (if applicable): 

Business Address: 

Daytime Phone Number: 

 
Most Eligible Bachelor
(first and last name): 

His Address: 

Daytime Phone Number: 

 
Most Eligible Bachelorette
(first and last name: 

Her Address: 

Daytime Phone Number: 
Best Law Enforcement
Address: 

Phone Number: 
 
 
Reader Information: *all fields are required
Your Name:                
City:                
Zip Code:
Phone:                
Email: