Richard L. Reeves Leadership Award and Nomination Form

IFTA

Richard L. Reeves Leadership Award and Nomination Form


Date submitted: July 21, 2019
Deadline: June 22, 2019
Nominee:
Jurisdiction:
Contact information for nominee:
Street:  
City:  
State/Province:  
Postal Code:  
Phone:
E-Mail:
Citation for award (25 word or less). (This will be used for publicity purposes if the nominee is selected.):
    
Area of activity of distinguished service Jurisdiction Industry
Explain nature of activity and why nominee's performance is considered distinguished:*
    
Include history of IFTA activities: *
Nominator:
Jurisdiction/Company:
Phone:
E-Mail: