INDIANA HIGH SCHOOL WRESTLING COACHES ASSOCIATION

“DEDICATED TO AMATEUR WRESTLING”

IHSWCA

HALL OF FAME NOMINATION FORM

NAME OF NOMINEE: _______________________________________

ADDRESS OF NOMINEE: ____________________________________

____________________________________

PHONE: ____________________________

FOR WHAT CRITERIA: ______________________________________

LIST CRITERIA: ____________________________________________

NAME OF PERSON MAKING NOMINATION: ___________________

SEND ALL NOMINATION FORM TO THE FOLLOWING ADDRESS:

ED FOX

366 SW SANTEE DR.

GREENSBURG, IN 47240

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