GEORGE C. DALBY PERPETUAL TROPHY

NOMINATION BLANK

VETERANS OF FOREIGN WARS OF THE UNITED STATES

DEPARTMENT OF VIRGINIA

Name of Comrade (Post Commanders and District Commanders excluded):

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Post Number: _______________
Address:____________________________________

• Number of dues collected: ____________________________________________
• Hospital Visits (visits to Comrades in hospitals and in homes):

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• Community Activities (number of projects participated in what part the contestant performed):

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• Youth Activities (number of projects in which the contestant participated and what he did):

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• What part the contestant took in the Buddy Poppy Sales: _________________

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• How much time missed from work in each project: _______________________

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• How much money contestant spent in attending meetings out of his area in which he was not reimbursed: ________________________________________
• Approximately the time, money, and miles traveled in performing tasked beyond the call of duty: ______________________________________________

REMARKS:

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