Recognition

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Nominee's Name*

First Last

Nominee's Title*

Nominee's Company**

Nominee's Email*

Nominee's Phone

Nominee's Location*

City State

Your Name*

First Last

Your Title*

Your Company*

Your Email*

Your Phone

Your Location*

City State

Reasons Nominee Should Be Considered*

Nominee's Photo

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Nominee's Bio

Accepted file types: doc, docx, pages, pdf, Max. file size: 64 MB.

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