2020 AHPA Awards Nomination Form
Nominate your colleagues for AHPA Awards by Dec. 13. Awards will be presented on March 4, 2020 at AHPA's Annual Member Meeting held at Expo West in Anaheim, CA. More information online at: http://www.ahpa.org/AboutUs/AHPAAwards.aspx
Nominator Information
Your first and last name *
Your answer
Your title
Your answer
Your company *
Your answer
Are you or your company an AHPA member? *
Your phone number
We will not share this information
Your answer
Your email *
We will not share this information
Your answer
Nominee Information
Select the Award Category *
Choose only one per nomination. Only the Herbal Insight Award is presented to non-members.
Nominee's first and last name or company name
Your answer
Nominee's organization if you are nominating a person
Your answer
Is the nominee or the nominee's organization an AHPA member? *
Nominee's email *
We will not share this information
Your answer
Nominee's phone number
We will not share this information
Your answer
I'm nominating this person or organization because *
Please provide a supporting description, documentation, and/or background material. Please email additional documentation to hchitty@ahpa.org
Your answer
Please confirm the information you submit is accurate to the best of your knowledge *
Please e-mail any supporting documentation to communications@ahpa.org
Your answer
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