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March of Dimes Baby
Help all Moms and all babies by nominating a Mom you love for March of Dimes Mom of the Year 2010.

March of Dimes Baby Mom of the Year is a celebration of all Moms and their singular role in creating and leading a healthy community and world for ALL children.

As we celebrate Mother's Day, take the time to nominate the special mom in your world for the 2010 March of Dimes Mom of the Year contest. Honorees will be selected and celebrated at a special event in September.

APPLICATION:
Nominee / Mom Information:
First:


Last:


Address:


City:


State:


Zip Code:


Ph(home):


Ph(cell):


Email:



Person Making Nomination and relationship to the Mom:
Name:


Relationship:


Email:


Ph(any):



In about 450 words, tell us why your nominee deserves to be the Mom of the Year:
Essay:



If you have your nomination essay saved as a word doc or PDF you may sumbit the file instead
File:


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