Pacific Northwest Koi Clubs Association

Ed Fujimoto Award Nomination Form

2019 PNKCA Convention
2017 Convention Pictures
Club News
Member Clubs
PNKCA Executive Board
Awards & Grants
Ed Fujimoto Award
PNKCA Grants
Koi of the Year Award
Bronze Koi Award
2015 By-Laws
In Memory of...
PNKCA Convention History
Club Show Schedules
Convention Posters
Koi Health
Forms & Brochures
PNKCA Scholarship Application
Contact us
Members Only
Website Link Exchange
Personal Websites
PNKCA Website Disclaimer

To nominate a club member complete the form below:
you will receive a responding thank you email when you have correctly submitted your nomination--if you do not receive that email contact the

Ed Fujimoto Nomination Form

Click here after you have submitted the completed form and received your "thank you" response - to return to the website.

PNKCA Club Name
Nominee First Name
Nominee Last Name
Retype First Name
Retype Last Name
Nominee Address
Nominee City
Nominee State
Nominee Zip Code
Nominee Phone Number
Reasons why this person is being nominated
Your Name
Your Address
Your City
Your State
Your Zip Code
Your Phone Number
Your Email Address

If you have problems with the form, contact Phyllis at  or 208-762-5749