2022 SSA Member Organization of the Year Award

Part I - Nominee

Question Title

* Nominee Information

Organization Name

Address

Address 2

City/Town

State/Province

Postal Code

Email Address

Phone Number

Question Title

* Nominator Information

Name

Company

Address

Address 2

City/Town

Province

Postal Code

Email Address

Phone Number

Question Title

* Date of Nomination

Date / Time

Date

Question Title

* As the nominator, I have notified (will be notifying) the nominee of this nomination.