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2019 Bruce Timmermans Organizational Award Nomination Form

Nominator information

Last name (required)

First name (required)

Phone number (required)

Email (yourname@domain.com) (required)

Organizational candidate information

Last name (required)

First name (required)

Phone number (required)

Email (yourname@domain.com) (required)

Nomination

Please provide a detailed description of the efforts performed by the identified candidate organization during the last year. Please provide as much detail as possible:

Please provide any other additional information related to the identified candidate organization during the last year. Please provide as much detail as possible: