Sunrise Media

Walden Savings Bank Community Champion Nomination Form

Complete the form below to nominate a Walden Savings Bank Community Champion. Please be sure to provide complete and verifiable information.

Your Name(*)

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Your Email Address(*)

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Your Phone Number(*)

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In the following Fields please enter the Name of the Not-For-Profit organization, the individual associated with the Organization and identify if you are nominating an individual or the organization and provide your reason.

Not For Profit Name(*)

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Individual's Name(*)

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Email Address(*)

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Phone Number(*)

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I am nominating (*)

The Individual

The Organization

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Reason for Nomination(*)

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Please Complete Captcha(*)

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