The attached nomination is for (check one):

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Name of Nominee:

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Address of Nominee:

City/State/Zip:

Phone:

Email:

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Notification Preferences:
I would like to notify my nominee of the application result.
I would like AFP to send a letter notifying my nominee of the application result or their honors.

Name of Organization Submitting Nomination:

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Address of Nominator:

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Phone:

Email:

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Are you an AFP member? Yes No

Last membership year:

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