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Nominate a Mom of the Month

Mom of the Month Nomination
Below is a list of prizes the Mom of the Month will win:
Parkhill Jewelry - $50.00 gift certificate
The Framing Concept - Professionally framed copy of the photo featured in the article
Neffsville Flower Shop - a $50.00 arrangement sent to the Mom's residence
Domino's Pizza - Free Large Pizza coupons
Beth Cardwell Photography - $75 Gift Certificate
Bernard's Day Spa - $50 Gift Certificate
Name of Mother:
Mother's e-mail:
Mother's phone number:
Mother's employment (check the box that applies):
Self employed Mom
Stay-at-home Mom
Professional Mom
Please answer the following questions:
Tell us about Mom's family:
Age(s) of child or children:
What are Mom's hobbies and interests?
What are the two best things about this mom?
What are Mom's most recent projects, special events, or achievements?
Please provide your contact information:
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