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8 www.ohiorestaurant.org Spring 2012 Issue

2012 ORA Industry Awards Nomination Form

Please complete the form in its entirety and return to:

Bradie Berry, Ohio Restaurant Association

1525 Bethel Road, Suite #201, Columbus, OH 43220 FAX: (614) 442-3545 or e-mail: bberry@ohiorestaurant.org Questions? Call Bradie Berry at (614) 246-0217 or (877) 265-7469

Nominations must be received no later than Apr. 30, 2012. Incomplete forms will not be accepted.

Signature of Nominator Nominator’s Telephone Number Nominator’s E-mail Address

Nominee’s First Name MI Last Name

Business Name Type of Business

Business Street Address City State Zip Code

Nominee’s Telephone Number Nominee’s E-mail Address

Nominee’s Fax Number Number of Years in Foodservice Business

Nomination For:

2012 Outstanding Restaurateur Award 2012 Outstanding Purveyor Award

2012 Outstanding Public Offcial Nominee

Claude F. Morton, Jr. Lifetime Achievement Award Nominee

Why nominee should be considered for an ORA Industry Award:

Please describe nominee’s contributions and accomplishments. Committee will select winners based on innovative ideas (green initiatives, product development, health and safety standards, social media, etc.) and overall contributions to the foodservice industry and their community. A separate sheet may be used for the narrative.

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