Dairy Industry Award Nominations Nominee's InformationFirst Name* Last Name* Farm or Business Name* Is this a nomination of the business, farm or individual?*IndividualFarmBusinessAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email Address Website Indicate Which Award This Nomination Is For:*Pennsylvania Distinguished Dairy Producer AwardPennsylvania Dairy Service AwardPennsylvania Dairy Innovator AwardDescribe why you believe this person or entity would qualify for this award:*Please upload your letter of support*Max. file size: 2 MB.Included with this nomination form are one letter of support with contact information from dairy industry professional who can verify and validate the information submitted. (Letters of support can be from peers, industry or other entities familiar with the nominee’s qualifications for the designated award.Nominator's InformationName* Relationship to Nominee* Company Name* Phone Number* Your Email Address * Those nominated for a Pennsylvania Dairy Industry Award will be contacted by mail to receive notice of their nomination and be asked to provide more information regarding their background and accomplishments for the review committee to consider in making a final selection. The letter to nominees will be sent out in late November and will be due by December 15 to be considered. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.