Soccer Hall of Fame and Museum Website > Hall of Fame

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NOMINATOR

Nominator's Name:

Date:

Address:

Telephone:

Email Address:

NOMINEE

Category:

Player
Builder
Team

Name:

Date of Birth:

Country of Birth:

Involved in soccer from (year):

To (year):

Residency:

Citizen
Resident

Other (specify):

Date & Place of Birth (if applicable):

ACHIEVEMENTS

Please summarize the nominee’s contribution to soccer and the activities and achievements which brought them recognition. (Use additional pages if desired).

Date:

Role:

Details:

Date:

Role:

Details:

Date:

Role:

Details:

Attachements (if any):

Yes
No