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EIP Awards Nomination Form

Nomination Category *

Nomination Subcategory *

Person/Organization Being Nominated *

Email *

Phone Number *

Address

Address Line 2

City

State

Postal Code

Using no more than 500 words, please describe why the nominee is deserving of an EIP Award. Explain in detail what sets the nominee apart from others that may be nominated in the category, and the impact they have had.

Provide information about yourself as the nominator below:

Name of Nominator *

Company/Organization *

Email *

Phone Number *

Address

Address Line 2

City

State

Postal Code

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