Up to four (4) complimentary ceremony tickets and up to two (2) complimentary rooms will be provided for each Inductee/Performer and guest(s). Rooms are for Saturday, March 26, 2022.

Please list the names for the recipient of each ticket and name(s) for the room(s) reservation. Additional tickets may be purchased and cost $20 each, however, seating is limited.

Please mark N/A for any tickets or rooms not requested.

Please submit this completed form/photos/biography to the Wilkes Heritage Museum by Friday, January 7, 2022.

Please let us know your name.

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Please let us know your email address.

Please let us know your home or business phone number.

Please let us know your cell phone number.

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Saturday, March 26, 2022

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Saturday, March 26, 2022

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Upload your official biography - Length of Bio may be edited for the printed program. If you have a website you wish to use, please provide the link in the field below.

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You may use the same photo or choose a different one for each venue. A headshot is necessary for the plaque. If you want to use a website link instead, please provide the website link in the field below. OR please Email (preferred) to Jennifer Furr at directorwhm@wilkes.net

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If Yes, you will be contacted about the performance. Rehearsals will be held earlier the day of the induction ceremony. If applicable, you will be contacted about the rehearsal schedule before March 26, 2022.

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Please check here to confirm your authorization to release information.

Check this box to confirm your authorization to release information

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Please submit this completed form/photos/biography to the Wilkes Heritage Museum by Friday, January 7, 2022.