NEIGHBORHOOD CONNECTIONS

Do You Know Someone Who Really Makes A Difference?

Someone who has improved the quality of life within your neighborhood or community?

CenturyLink would like to recognize those outstanding people who make us more connected. More connected with each other. More connected with our communities. These are the people who ultimately make the world a better place.

Simply complete the nomination form below and your nominee will be entered to win. Monthly winners will receive a $50 gift certificate for a local business, and each quarter, one nominee will win a new laptop from CenturyLink.

Strong neighborhoods and connected communities need outstanding individuals. Say thank you by nominating someone today!

1.Please enter your information

First Name*

Last Name*

Zip Code*

Email*

Date of Birth (MM/DD/YYYY)*

2.Please enter the information for the person you are nominating

First Name*

Last Name*

Phone*

Email*

3.Tell us about your nominee:*

4.Please enter your date of birth.

Month*		Day*		Year*


	5.Terms and Conditions

	YES, I have read, understand, and agree to the Web site usage agreement and privacy policy.


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