Golden Rule Citizens Nomination Form

As a Golden Rule state, I am pleased to present a program that positively recognizes those who “treat others the way you would like to be treated” and who make a difference in Arizona. By using the form below, you can nominate an Arizona resident as an Arizona Golden Rule Citizen! Please nominate people who practice the Golden Rule and my office will mail you an Arizona Golden Rule Citizen Certificate that you can present to the person whom you nominated.
Click here to read the Golden Rule Senate Concurrent Resolution

Feel free to contact my office for more information.
JANICE K. BREWER
Arizona Governor
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The Nomination Form:
Here's how it works. Simply fill out the form below and tell us why you want to nominate a person as an Arizona Golden Rule Citizen. Once the information is verified (our office may contact you), a certificate will be mailed to you to present to the nominee.
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* Required Information
 
Below is the information we need about You.
Your First Name:
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Your Last Name:

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Your Email:

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Your Telephone #:

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Your Address:
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Your City:
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Your State:
Your Zip:
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Below is the information we need for the Golden Rule Citizen.
Nominee's First Name:
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Nominee's Last Name:
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  Please double check your spelling. This is how it will appear on the Golden Rule Certificate.
 
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