AAUS Industry Champion Awards 2019
Nomination Form
Nominator Information (self nominations are welcome)
Please complete all fields below so that we may reach you with any questions about the nominee. All fields must be completed.
Nominator Name *
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Nominator Company *
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Nominator Email *
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Nominator Phone Number *
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How are you affiliated with the Nominee? *
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Nominee Information (Who are you nominating?)
Please provide required information below and carefully review prior to submission to ensure all information is accurate. All fields must be completed.
Nominee Name *
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Nominee Company *
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Nominee Email *
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Nominee Phone Number *
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Award Category *
Nominee's Case for Award Addressing Award Category Judging Criteria (max 1000 words) *
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