Fill out the form on this page to tell Namaste Shopper about someone you know who qualifies as a hero.

(Note: This is not a vote. Please do not nominate the same person more than once.)

*Required fields marked with asterisks.
 
Your Info: Please Tell us a little about yourself
   
*First Name
*Last Name
*City
*State
Zip
*E-mail
*Phone
How long have you known the person you are nominating as a community Hero?
 
Your Nominee's Info: Please tell us about the person you are nominating to be a Hero.
   
*First Name
*Last Name
*City
*State
Zip
*E-mail
*Phone
Age
Profession
Why does your nominee deserve recognition as a Community Hero of the month. Please describe in detail your nominee’s specific accomplishment and what was involved in achieving it. Be sure to include the dates of the activities.
200 words maximum
How have your nominee’s effort made a difference for better? Please describe their impact potential and how they have inspired others in the community.
100 Words maximum
  
Is there anything else that makes your nominee exceptional or unique? 100 words maximum.