Hall of Honor Nomination Form

Nominee Contact Information

	Nominee's Full Name
	Nominee's Recent Company Affiliation
	Phone
	Fax
	An IAM Member?
		Yes/No/Not Sure
	Is Nominee Living or Deceased?
	Photo of Nominee
		Name your file something easily recognizable. For instance, if you are nominating Harlan Sanders, name the file something like "Harlan Sanders Photo."

Nominator Information

	Person Making Nomination
	Nominator's Company Affiliation
	Phone
	Fax
	Primary Email
	IAM Member?
		Yes/No

Justification and Support for Nomination

	Why are you nominating this person?
	Bio Statement Upload
		Nominee bio or other supporting document. Name your file something easily recognizable. For instance, if you are nominating Harlan Sanders, name the file something like "Harlan Sanders Bio."

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