Benjamin Franklin Award Nominations

Date *

Month Day Year
Date
Name of Nominee *

First Name Last Name
Name of Nominee Spouse

First Name Last Name
Current Company Affiliation *
Nomination

Please note that it is helpful, but not necessary, to provide the following information on the nominee. PIAG gives all nominees the opportunity to provide their own background information.
I am nominating this individual for the 2022 Benjamin Franklin Award for the following reasons (please remember to list appropriate dates of accomplishments):

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If you would like to provide additional documentation, please upload here.

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Nominee's length of service (in years) within the printing and imaging industry *
Nominee's length of service (in years) within the Georgia printing and imaging industry *
Note: To be eligible, the nominee must have a minimum of 10 years in the printing & imaging industries, with at least 5 of those years in Georgia
List up to three industry leaders who may be contacted with reference to the nominee's accomplishments. *
Nominator Information
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Relationship to Nominee *
Should be Empty:

Nomination