caption freeform

Beautification Award Form



*A photo of the Nominee and written explanation (200 words or less) are required to complete the nomination process.*

Nominee:
 
Nominee Address:
Phone:
Category:
 Automotive Dealer
 Commercial / Mixed-Use
 Restaurtant
 Retail
 Services

Nominator:
Nominator Address:
Nominator Phone:
Nominator Email:
Nominee Photo: Click "Choose File to attach your photo. If you wish to sumbit more than one photo you may email additional images to mrosen@cityhpil.com
Please describe in 200 words or less why the nominee should receive the Mayor's Beautification Award: