ILTCI RECOGNITION AWARD NOMINATION FORM
The ILTCI wants to recognize those persons and organizations that have made significant, long-term contributions in attaining the ILTCI vision. Does this describe someone you know? If so, please fill out the nomination form below. The winner will receive a complimentary registration for the 18th Annual Intercompany Long Term Care Insurance Conference (or an honorarium not to exceed the value of undiscounted registration rate) and will be recognized at the event at the Paris Hotel and Casino in Las Vegas, Nevada. Winners will be announced in February 2018.

Deadline for nominations is January 18, 2018

Questions? Please send them to info@iltciconf.org

Email address *
Is this nomination for an Individual or Organization? *
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