Nominate a Latin American Insurance IT Executive for the Five Star Award / Proponga un ejecutivo para un Premio Cinco Estrellas / Indique um executivo para o Five Star Award
September 23-26 at MGM Grand in Las Vegas
Your Information / Información de Ud.
Your email address / su email *
Your answer
Your Name / Su Nombre / Su Nome *
(First and last name of the person making the nomination.) (Nombre y apellido de la persona que hizo la nominación.) (Nome e sobrenome da pessoa que fez a nomeção)
Your answer
Your Company / Su Empresa *
(The company of the person making the nomination.) (de la persona que hizo la nominación) (da pessoa que fez a nomeção)
Your answer
Name of Nominee *
(Nombre y apellido del candidato.) (Nome e sobrenome do candidato.)
Your answer
Job Title / Cargo *
Your answer
Company / Empresa *
Your answer
Country / Pais *
Your answer
Nominee's email address / email del candidato *
Your answer
Phone Number / Teléfono / Telefone para contato *
Your answer
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