Official MTJA 'GEMmy' Nomination Form

Official MTJA 'GEMmy' Nomination Form
The Midwest Travel Journalists Association Award

Recognizing Exceptional Travel Experiences
If you have any questions please contact Elizabeth Granger at elizabethgrangertravel@gmail.com.

Please fill in ALL requested information.
Nominee Information
Nominee
Nominee Contact Name, Title
Address/City/State/Zip
Location (if different than mailing address)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-Mail
example@example.com
Website
Category/type (check appropriate one-people are not an eligible category)

Other
Other (Describe)
Please list reasons for your nomination. Feel free to add articles you have written or other support material. (*EXAMPLES: 1) Unique—natural or man-made; 2) Offers a “superior” or “exemplary” travel experience; 3) Offersan outstanding opportunity to experience a “classic must-see or must-do” for the person who wants to experience “benchmarks” of travel experience; 4) An outstanding opportunity to experience another culture or tradition; 5)Exemplifies “the joy of travel” or “the discovery of travel”; 6) Shows the benefit of “getting off the beaten track”)
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MTJA Nominator & Supporting Sponsors
Note: The Nominator must have experienced the Nominee within the past year, the Supporters must certify they have experienced the Nominee, and at least 2 of 3 Nominator/Sponsors must be Actives. Associates may not sponsor sites which they promote.
MTJA Nominator Name

First NameMiddle NameLast Name
MTJA Nominator Address
MTJA Nominator Phone
Please enter a valid phone number.Format: (000) 000-0000.
MTJA Nominator Status
MTJA Nominator Email
example@example.com
Supporting Sponsor 1 Information

Include brief supporting statements with this form or by email to admin@mtja.us and elizabethgrangertravel@gmail.com.
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Status
Email
example@example.com
Supporting Sponsor 1: a brief supporting statement
Supporting Sponsor 2 Information
Name

First NameLast Name
Address
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Status
Email
example@example.com
Supporting Sponsor 2: a brief supporting statement
Should be Empty:

Official MTJA 'GEMmy' Nomination Form

Nominee Information

MTJA Nominator & Supporting Sponsors

Supporting Sponsor 1 Information

Supporting Sponsor 2 Information