SECTION I

I (We) do hereby nominate________________________________________for election to the Society's Hall of Fame.

1. Full Name of Nominee:

2. Mailing Address of Nominee:

3. Phone Number of Nominee:

(If Nominee is deceased, so state and list information above for relative or friend.)

4. IMPORTANT: Please attach a photograph of your nominee.

SECTION II
Please list McClellan-Kerr Arkansas River Navigation System development organizations in which the nominee has participated, and provide a brief summary of his/her other development work related to the McClellan-Kerr Arkansas River Navigation System. Please be sure to list leadership positions including calendar years of participation, and a brief summary of the nominee's significant accomplishments. (If more room is needed, attach commentary on a separate sheet of paper.)

SECTION III
Submit a brief (One and no more than two page) biography of the nominee. This biography should include mention of his/her civic, business or professional career not otherwise mentioned. Include significant recognition awards, and reasons you think that this individual should be included in the Hall of Fame.

SECTION IV

I/We _______________________________________ submit this nomination on

(Date)___________________ for consideration by the Society's Hall of Fame Nomination Committee and its Board of Directors.

__________________________________________________________________________________________
Signature

___________________________________________________________________________________________
Mailing Address

___________________________________________________________________________________________
City State Zip Code

___________________________________________________________________________________________
Telephone Number/Fax and/or E-mail address

SECTION V

Nomination form should be mailed to:

Chairman, Hall of Fame Nominating Committee
Arkansas River Historical Society
5350 Cimarron Road
Catoosa, OK 74015-3027

All nominations must be received no later than September 30, 2005