ICBM Legacy Award Nominee Form 2019 Question Title * 1. Nominee Information Name (first and last) Company Address City State ZIP Email Address Phone Number Question Title * 2. How many years has the nominee been in the banking industry? Question Title * 3. Please list the nominees banking work history, his/her most memorable moment in banking, and outside activities and interests. Question Title * 4. This nomination has been submitted by: Name Company Address City State ZIP Email Address Phone Number Done
