RECOMMENDATION FOR MOCA CERTIFICATE OF APPRECIATION

Purpose:  To recognize a person or organization that promotes the preservation of Maine's old cemeteries.   This could be accomplished through repair, maintenance or education.

Date of nomination: ____________________

Name of person nominating: _________________________________

  Address: _____________________________________________

  Telephone, email: _____________________________________

Nominee: ________________________________________________

  Address: _____________________________________________

  Telephone, email: _____________________________________

Reason for recommendation: (short outline of project or activity: list site, location, type of project, and any other information you think pertinent.)

Include photos, binder (if project presented in that form), or news clippings, if available, and mail to:

 MOCA Awards Chair

PO Box 641

Augusta ME 04332-0641