Please nominate an NAA member who you believe is NAA's top advocate in 2021! Affiliate staff are not eligible for this award.

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* 1. Nominee's Name

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* 2. Nominee's Company Name

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* 3. City, State

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* 4. Affiliate Name

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* 5. Email

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* 6. Phone

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* 7. Nominated by

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* 8. Did the nominee participate in the following suggested Federal activities?

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* 9. Please provide details on the actions taken by the nominee as you described above

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* 10. Did the nominee participate in the following suggested State or Local activities?

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* 11. Please provide details on the actions taken by the nominee as you described above

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* 12. In your own words, why do you feel this person should receive the Grassroots Member Advocate of the Year Award?

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