Nominate a MAN
to be in
AlaskaMen®

Follow the 3 easy steps below.

PLEASE READ FIRST:  This form will not work for any other purpose but to nominate a man to be in AlaskaMen. Nominees do not have to be residents of Alaska in order to be included in AlaskaMen's publication.  You may also nominate yourself.  The information about the nominator in STEP #2 is optional, but we may not seriously follow up unless we have at least a phone number or email address to confirm the validity of the nomination.  Serious nominations only please.  We will respect your wish to remain anonymous to the nominee if you so desire.   You must click on the SUBMIT NOMINATION button at the bottom of this page in order to send it to AlaskaMen for Susie's review. After you submit your nomination you can also follow up by sending an email to Susie susie@alaskamen.com and attaching a photo to the email.
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 STEP 1. Please provide as much of the following
information, that you can, on the MAN
whom you wish to nominate:

First name
Last name
Middle initial
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
Occupation
E-mail

STEP 2.  Referred By (your name - the person
nominating a MAN to be in AlaskaMen®).
Most of this is optional, but we would appreciate some
way to contact you to confirm that this is a serious nomination:

First name
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
E-mail
Comments 

STEP 3. Would you like your nominee to know about you?

(select one below)

I would like to remain anonymous in this nomination
I don't care if you tell the person who nominated him
Please tell the person who nominated him

Do Not Click More Than Once.  Please be patient, it may take up to a minute to process.

You will be sent to the Home page after you submit your nomination.
Thank you for taking time to fill out our nomination form

You can also send a picture of your Nominee:
Simply send an email to Susie at susie@alaskamen.com and attach the picture file.

 

© Copyright 2011 by Susie's AlaskaMen Inc., Susie Carter
AlaskaMen is a registered Trademark of Susie Carter, all rights reserved.