Best Of Nama Entry Form

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Best of NAMA Entry Form
Read complete rules before submitting. You may reproduce this entry form as needed, as long as the same information is listed. Please
make sure all names are spelled correctly, persons responsible are identified, proper company division is listed, etc. Information is
taken DIRECTLY from entry forms to notify winners and order plaques. For public relations entries fill out entry form and follow
directions detailed with each category. Please remember to make 2 additional copies of the entry form to submit with entry. You
can get this form on the Web at DON’T FORGET TO INCLUDE E-MAIL ADDRESSES. ALL
COMMUNICATIONS REGARDING THE AWARDS PROCESS WILL BE SENT VIA E-MAIL.
Category Number ___________ Category Name________________________________________________________________
Chapter (mandatory)_____________________________________________________________________________________
Entry Title ____________________________________________________________________________________________
Company _____________________________________________________________________________________________
Address ______________________________________________________________________________________________
City ______________________________ State__________ Zip____________ Phone
Person Responsible_____________________________________ E-mail address _____________________________________
Agency ______________________________________________________________________________________________
Address ______________________________________________________________________________________________
City ______________________________
State__________ Zip___________ Phone _________________________________
Person Responsible _________________________________
E-mail address _________________________________________
If entering Public Relations Categories (36-56) do not fill out information below. Include this information on project/program
summaries.
What is the intended target audience? ________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
What is the intended message? _____________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Results (if available) _____________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Payment Method (circle one)
Check Enclosed
Mastercard
Visa
Amex
Card #____________________________________
Exp. Date_______________ Signature _____________________________
Submitted By______________________________Company___________________________ E-mail address _____________________
If paying by credit card: For security purposes please put credit card information on a copy of the entry form and attach to the entry
with a paper clip. Do not put the credit card information directly on the entry itself.

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