IAC Award Nomination Petition - 2012 Season

Part I. Award Nomination Qualification.

You must be a current member of IAC and an IAC Chapter to submit a nomination.

* 1. Your Name:

* 2. Your mailing address:

* 3. Your email address:

* 4. IAC Membership number:

* 5. IAC chapter affiliation:

* 7. Candidate's Name:

* 8. Part III. Supporting Information Section.

Awards are given based on performance and contribution to the sport of aerobatics during the prior year.

Describe the nature of activities undertaken by the nominee, their character and any other attributes that make the individual worthy of the award you feel this person deserves. The statement should be written in a way that people who may not personally know the candidate will see the merits of the nomination from this information.

* 9. Additional Space

* 10. I attest this information is true and factual.

Signature of person submitting this nomination. (type your electronic signature)