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Champions on the Move logo

Nomination Form

Do you know someone who:

   — Is a Champion On the Move in our community working to improve the lives of people with MS?

   — Is working to create a world free of MS through their activism, volunteerism or philanthropy?

   — Deserves to be recognized for everything he or she does while living with the challenges of MS?

Nominate them to be recognized at the 2017 Champions On the Move Event.

Awards will be given in the following categories:

   • Young Man/Woman On the Move (ages 40 and under)
   • Stephen H. Kelley Award (Professional On the Move)
   • Volunteer On the Move
   • Inspirational Man/Woman On the Move
   • Group On the Move (for corporations, civic groups or other groups)

The awards will be given out at the chapter’s Champions On the Move Event on Thursday, September 14, 2017, at The Foundry in Buffalo.

On the Move is a nationwide educational and fundraising event that helps to increase public awareness of MS and the National MS Society while acknowledging and encouraging the advancement of philanthropists, activists, volunteers and community leaders. The goal of the Champions On the Move Luncheon is simple to raise funds and empower each other to create a better future for those living with MS.

Complete the nomination form and email it to, or mail to:
National MS Society
ATTN: Champions On the Move
4245 Union Road, Suite 108
Buffalo, NY 14225

Download the Form

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