GAC® National Medals & Awards
Logan Medal Nomination Form


STEP 1

WE HEREBY NOMINATE:
(Note, sponsors for the Logan Medal must be members of GAC®)

MEDAL NOMINEE

Name:    
Position:

Address:

Phone:                                                      Fax:

Email:
Date:

PRINCIPAL SPONSOR
Name:
Position:

Address:

Phone:                                                      Fax:

Email:


FIRST CO-SPONSOR (to be completed by Principal Sponsor)
Name:
Position:

Address:

Phone:                                                      Fax:

Email:


SECOND CO-SPONSOR (to be completed by Principal Sponsor)
Name:
Position:

Address:

Phone:                                                      Fax:

Email:






Last modified: December 17, 2009
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