Bruce Witz Memorial Award Nomination form 1Your Information2Nominee Information This award honors a small company from each region that consistently offers a quality product and outstanding service to the members of that region. In addition, this small company should, through their contribution of time and effort, provide the most significant contribution to the goals of the NYSSRC in a single calendar year. Please complete each field below with as much information you know about the individual you are nominating. It is not necessary to complete each field with your nominee information, but the more detailed, the better informed decision the Awards committee and Board of Directors can make. Any categories below indicated with an asterisk (*) are required fields.Your Name First Last Your AARC NumberYour Email Enter Email Confirm Email Your PhoneState RegionChoose your regionCentralHudson ValleyLong IslandNew York CityNortheasternWestern Nominee InformationCompany Name Name Contact Person First Last Email PhoneProducts or Services ProvidedDescribe why this company should be honoredOther Contributions / QualitiesNameThis field is for validation purposes and should be left unchanged.
