Name of Nominated Company (please note nominated companies must be a TCA member in good standing): *
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Address of Nominated Company: *
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Name of Principal(s) of the Nominated Company: *
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Title of Principal(s) at the Nominated Company: *
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Phone Number of Principal(s) at the Nominated Company: *
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E-mail Address for the Principal(s) at the Nominated Company: *
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NOMINATOR INFO
Nominator Name: *
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Nominator Company Name: *
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Nominator Company Address: *
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Nominator Phone Number: *
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Nominator E-mail: *
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Please provide a detailed description as to why you are nominating this company / individual (this must include specific examples of Innovation): *
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I understand that upon making this submission the information I have provided will be shared with TCA's Awards and Nominations committee for the purposes of considering the nominated company as a candidate for TCA's Innovation Award. *