Black Marriage Day Nomination Form
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Complete the contact information for the nominee's and yourself.

Describe in 800 words of less why you think this couple deserves to be

inducted into Essential Essence's Black Marriage Day Hall of Fame.

 

Nominee's Information:
Nominee Husband's name:
Nominee Wife's name:
Nominee's address:
State & Zip code:

Telephone #:

Describe why this couple should be inducted:

Time Married

Your Information :
   
   

Your Name:

Contact Information

Email

Telephone#

Call Essential Essence 301.317.9333 to Pay $20.00 Registration Fee