This summer, Wild 104 wants to celebrate the women who make a difference every day in service to our communities. So we’re asking you to nominate someone in your community – a female cop, firefighter, EMT, nurse, or military servicewoman – for a chance to be recognized as Binghamton's Hometown Heroine of the Year.

The image of a hero is often of a man who gives their all for the good of the community. But we know women get their hands dirty, too – committing themselves to serving our city and even putting themselves in harm’s way – and we want to make sure these awesome ladies get their due.

Just use the form below to tell us why someone you know deserves to be named the Hometown Heroine of the Year. The winner gets bragging rights and this incredible getaway:

Two night stay in a Deluxe King Room with Gas Fireplace and Jacuzzi Bathtub at La Tourelle Resort
Breakfast or Brunch for 2 persons for two days at The Bistro at La Tourelle
$ 200 Credit at August Moon Spa
$ 200 Credit at John Thomas Steakhouse
Bottle of Finger Lakes Sparkling Wine in room

Restrictions - May be used any two days of the week. Some WEEKEND Blackout Dates apply including September 20 through November 15, 2013 and May 23 - 31, 2014. Reservations are subject to availability. Certificate expires July 1, 2014. No refund for unused portions. Spa credit may be used for massage, skin care and nail treatments but not for retail product purchases. Gratuities to staff not included.

Nominate below. We're accepting nominations until July 8th -- then we'll begin rounds of voting!

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