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* 1. Name of nominee:

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* 2. Nominee's employer:

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* 3. Nominee's NALP involvement:

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* 4. I would like to nominate this individual to receive the Recognition of Service Excellence Award for the following contribution to NALP:

Nominated by:

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* 5. Name of nominator:

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* 6. Nominator's contact information:

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* 7. Date of nomination:

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