2019 Distinguished Woman in Logistics Nomination Form

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* Submitter Contact Information

First Name

Last Name

Title

Company

Phone

Email

Address

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* Nominee Contact Information

First Name

Last Name

Title

Company

Phone

Email

Address

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* Award Citations

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* Rationale for Nomination

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* Career Background (Curriculum Vitae)

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* Accomplishments (as appropriate)

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* Is your nominee attending the 2019 TIA Conference April 10-13 in Orlando, FL?

Yes

No

Don't know

No more than eight brief supporting letters or statements from colleagues and peers should be included with all award nominations.
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