Awards and Recognition

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GWIM Award Nomination Form

* = Required Fields

Please select the award you are nominating the applicant for:*






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City/State/Zip Code*
 
Zip Code -  
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Phone*() -    
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*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff
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*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf, *.gif,*.jpg,*.jpeg,*.bmp,*.png,*.tif,*.tiff
Do you wish to have your nomination considered again next year?

Nominator's information

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City/State/Zip Code*
 
Zip Code -  
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Phone*() -