2018 Media Award

Fields marked with * are required.

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Complete the electronic submission form by October 22, 2017.

Nominee Title: *
Author/URL: *
Author Email: *
Nominator Name: *
Nominator Phone:
Nominator Email: *
The submission must include an uploaded digital copy of the Media being considered. *
The nomination letter should be uploaded as a PDF file. *

Support References: Submit the names of three references. References will be asked to complete an online form of support

Reference 1 Title: *
Reference 1 Name: *
Reference 1 Email: *
Reference 2 Title *
Reference 2 Name: *
Reference 2 Email: *
Reference 3 Title: *
Reference 3 Name: *
Reference 3 Email: *





Your form submission WILL be encrypted using SSL to ensure your privacy.