OHIO GOOD SAM ORGANIZATION

KING AND QUEEN ENTRY BLANK

RULES

Applicants must be husband and wife whose combined ages total 100 years.

Only those who are residents of Ohio and members of Good Sam are eligible.

Applicants must state in 50 words of less why they should be the King and Queen, or if nominating another Good Sam member, why they should be the King Queen.

Please do not use names in the article such as Jane or Bob and Chapter name and number if in a chapter.

The judge’s decision will be final.

Use 50 words or less state why you or your nominee, should be the King and Queen.

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I wish to nominate ______________________________________________________________

The combined ages are_______ Chapter _________________________________________

(If Applicable)

Signature ________________________________________

Chapter __________________________________________

Please return to Tom or Peg Maurer at the State Samboree by Friday NOON.