Please submit the required information for the nominee below.
Nominee's First Name *
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Nominee's Position at Firm/Organization *
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Nominee's Firm/Organization *
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Nominee's Email Address *
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Your Information
Please submit your information as the person nominating.
Your First Name *
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Acknowledgment:
By submitting this nominee's form, you acknowledge that VABANC may content you and the nominee(s) for consent to publish information in our marketing materials (including, but not limited to, our program booklet and slideshow).