Payment Systems Awards Nomination Form

Payment Systems Awards Nomination Form
EPCOR Marquis Award
Presented annually to individuals or organizations that have demonstrated leadership in the implementation, advancement or awareness of electronic payments; or have exhibited long-standing support and contributions to the EPCOR mission.

Payments Innovation Award
Presented to an individual or organization that has implemented innovative payments or risk management solutions.
I would like to nominate the individual or organization indicated below for:

EPCOR Marquis AwardPayments Innovation Award
Nominee's Name

First NameLast Name
Nominee's Title
Nominee's Organization
Nominee's Email
example@example.com
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Phone Number

Area CodePhone Number
Submitter’s Name

First NameLast Name
Submitter’s Title
Submitter’s Organization
Submitter’s Email
example@example.com
Submitter’s Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Submitter’s Phone Number

Area CodePhone Number