John Hurty Award Nomination Form August 31, 2021 Nominee Name (First and Last)Name of Person Submitting Nomination*Utility Or CompanyEmail* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Year Started in the Water IndustryNumber of Years in the Water IndustryList Current Utility or Company AND Any Other Utilities WorkedQuestions???Please email Megan Fleming, INAWWA Program Manager: megan.fleming@inawwa.org Subtotal Options Total John Hurty Award Nomination Form quantity Add to cart
