ISRA Distinguished Service Award Nomination Form

Submit your nominations to Illinois State Racquetball Association via e-mail to Cheryl Kirk at cherylkkirk@aol.com or to any ISRA Board member.

NOTE: The more detailed your nomination (including tournament results), the better chance your nominee(s) will have!

Nominee’s Name:

Include paragraph regarding your selection(s) (May use separate sheet of paper):

Name of USAR/ISRA member initiating nomination (please print):

Phone (day):
Phone (night):
Signature:
Date:

Please return by Monday, January 27, 2020 to Cheryl Kirk at cherylkkirk@aol.com