Alaska Water Wastewater Management Association

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Award Nomination Form

Name of Award:
Nominee Name:
Title of Nominee:
Nominee Address:
Nominee City:
Nominee Phone:
Nominee Fax:
Nominee Email:
System Name:
Type Of System:
System Size/Capacity:
Manager or Supervisor Name:
Manager or Supervisor Phone Number:
Manager or Supervisor Email:
Eligibilty Description:
Name of Nominator:
Nominator Phone Number:
Nominator Email:

(This will open your e-mail editor so you may send sumbittal as an email)

Thank you for taking the time and effort to submit this nomination form. Your efforts are important to providing recognition for those who excel at providing us exceptional water and wastewater utility service.