Mom of the Moment Nomination Form

If you would like to nominate an amazing Mom, please complete the form below.

Your Name*:
 
Your E-Mail*:
 
Your Phone*:
 
Your Relationship to Nominee*:
 
 
Name of Nominee*:
 
Nominee's Phone*:
 
Nominee's Email:
 
Nominee's Age:
 
Nominee's City*:
 
Nominee's Occupation*:
 
Nominee's Children & Ages:
 
Tell us why she should
be Mom of the Moment*:

 

 

Past Issues

September/October 2016 Issue

Sep./Oct.
2017
 
 

July/August 2016 Issue

Jul./Aug.
2017
 
 

May/June 2017 Issue

May/Jun.
Minimalism
 
 

March/April 2017 Issue

Mar./Apr.
Good Timing.
 
 

January/February 2017 Issue

Jan./Feb.
Embrace Your Uniqueness.
 
 

November/December 2016 Issue

Nov./Dec.
It's a Man's World. Or is it?
 
 





 
phone/fax: 605-716-5696
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