Western Montana Chapter of the Mule Deer Foundation

2012 LANDOWNER APPRECIATION AWARD

NOMINATION FORM

At the 2012 Mule Deer Foundation Banquet on to be determined the Western Montana Chapter will present an award to an outstanding landowner in Western Montana.  The landowner will be invited to the banquet to receive the award and will receive two free dinners and MDF memorabilia. We are seeking nominations for this award. Please fill out and mail this form to the committee by June 30, 2012 if you would like to nominate a landowner.

Landowner(s) Name: ___________________________________________________

Landowner Mailing Address:_____________________________________

                                            PO Box, Street or Road address
 
______________________________, MT___________

  City or Town                                               ZIP

Landowner Phone:                    _____________________________________________

On the back or a separate piece of paper, in your own words, please describe why you believe this person or persons should be considered for an award.  The selection committee will be interested in any combination of the following: whether the landowner promotes habitat for mule deer; whether the landowner allows hunting; has the landowner supported the Mule Deer Foundation in the past or participated in Mule Deer Foundation projects; has the landowner participated in other hunting or conservation projects; are they active in any hunting, agricultural or conservation organizations.? In addition the committee will be interested in your personal reasons for nominating this person or persons.  All nominees will receive a notice of nomination and a thank you letter from the chapter even if they do not win the overall award.

Please mail nominations to: MDF

                                         PO Box 430                   Deadline for nominations:

                                         Missoula, MT  59806               June 30, 2012