Award Nomination Form

2010 ARRL ATLANTIC DIVISION AWARDS NOMINATION FORM
Person or group submitting nomination:	___________________________________
Telephone number for further information:	___________________________________
Name of person or group nominated:	___________________________________
Street Address of person/group nominated:	___________________________________
City/State/Zip of person/group nominated:	___________________________________
Telephone number(s) of person/group nominated:	___________________________________
Category of Award: (check only one) See accompanying information for award terms of reference.

_____	AMATEUR OF THE YEAR
_____	KEITH FREEBERG N2BEL EDUCATOR OF THE YEAR
_____	TECHNICAL ACHIEVEMENT

Print the above form using your browser's FILE PRINT icon and follow the directions below for submission. Please attach this form to the supporting documentation detailing the qualifications of your nominee.

The Awards Committee may, at their discretion, shift a nomination made in one award category to another award category, in order to honor a larger number of worthy nominees. The candidate nominated must reside within the Atlantic Division in order for this nomination to be considered.

When completed, return the nomination to:

John Szwarc N3SPW

Atlantic Division Awards Nomination
PO Box 207
Kylertown, PA 16847-0207

PDF submission may be sent to: awards-2010@atldiv.org

Nominations deadline is Saturday, April 17, 2010. Nominations received after this date cannot be considered for 2010 awards.

Send mail to webmaster @ atldiv.org with questions or comments about this web site.