2016 Leader of the Year Award Nomination Form

Leader of the Year Award Nomination Form

In order for a chapter leader to be eligible to receive the Leader of the Year Award (announced during the closing general session at Summit 2016), they must be nominated by a customer or a partner.

Question Title

* 1. Please provide the following:

Name: *

Company: *

Address:

Address 2:

City/Town:

State:

ZIP:

Country: *

Email Address:

Phone Number:

2016 Leader of the Year Award Nomination Form

Leader of the Year Award Nomination Form

Question Title

* 1. Please provide the following:

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* 2. Please select the User Group of which you attend chapter meetings for:

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* 3. Please identify the chapter meeting you regularly attend:

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* 4. What is the name of the chapter leader you are nominating for this award?