AWARD NOMINATION FORM - AFS AK CHAPTER

I/We nominate ______________________________________
for the Alaska Chapter's (please check only one award below)

___ Wally Noerenberg Award (WNA) for Fishery Excellence, or the
___ Meritorious Service Award (MSA),

because of the following great and outstanding contribution(s) made by him/her/them to Alaska fisheries (WNA), or because of some meritorious service (MSA) the nominee has performed in the field of Alaska fisheries.

Please summarize the salient points of why you feel the nominee is justified to receive the award (50 words or less):

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Nomination submitted by:

Name:______________________ Phone:__________________

Signature:____________________________ Date:___________

Please feel free to also submit any other supportive documentation that you think will be of use to our award committees. THIS FORM MUST BE POSTMARKED BY JULY 31 FOR CONSIDERATION IN THIS CALENDAR YEAR. Send nominations to Brenda Wright, 2770 Sherwood Lane 2A, Juneau, AK 99801.