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Nomination Form

Nominations for any of the 20th Anniversary Recognition Awards can be made on-line using the form below or submitted using the PDF version of the nomination form.

The deadline for submissions is 1 June 2007:

Persons may nominate themselves or their own organization, or they may choose to nominate a third party who they believe should receive recognition. All nominations must be supported by a summary of up to 300 words providing support, including concrete examples of unique contributions of the individual, entity or project.

Nominee

Name of nominee
(individual or organization)

Country of work

Telephone

E-mail

Tick one:

Male Female Organization / Firm

Nominator

Name

Organization/Firm

Address

Telephone

Fax

Email

   

Specify award that this nomination is being made for :

Please clearly summarize in three hundred words or less why you believe that the person/entity/project you are nominating is uniquely qualified to receive this award.

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