Do you wish the nominee to know of your submission? *
My name is: *
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My ACDA membership number is: *
Must be a current active, life or retired member to submit a nomination.
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My phone number is: *
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My email is: *
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Brief description of why you wish to nominate this person for this award. *
This is for informational purposes - it will not be printed or used as a nominating letter; however, it can be copied to you for inclusion in a nominating letter if you wish.