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HALL OF FAME
  

 

NOMINATE

The following form is required to be filled out by anyone nominating an individual to be inducted into the Canadian Black Hall of Fame.

 

ABOUT YOU:
FIRST NAME:
LAST NAME:
EMAIL:
PHONE #:
ABOUT WHO YOU WISH TO NOMINATE:
FULL NAME:
STYLE:
# OF YEARS IN MARTIAL ARTS:
MAJOR ACCOMPLISHMENTS IN MARTIAL ARTS:
PHONE #:
EMAIL:
 
   
   

 

 

 

 

 

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