2010 NOMINATION FORM DEADLINE FOR ENTRIES - SEPTEMBER 15, 2010 Please select the nomination category (toggle): Outstanding Pavement Promotion Award -  Awarded selectively since 1998.  The award is presented to an individual or group who has made significant contributions through promotion efforts or programs to advance the awareness, specification, and/or placement of concrete pavements.  Name of Nominee(s): Company: Title: Address: City: State/Province: Scroll for Choices None AB AK AL AR AS AZ BC CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NV NY OE OH OK ON OR PA PR QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT Zip/Postal Code: Email: Phone: Fax: Unique aspects of the project and other contribution(s) to the concrete pavement industry: Other activities that support your nomination: Your personal comments on why this individual should be the recipient of this award: ACPA Member Endorsement By: Full Name: Company: Title: Address: City: State/Province: Scroll for Choices None AB AK AL AR AS AZ BC CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NV NY OE OH OK ON OR PA PR QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT Zip/Postal Code: Email (REQUIRED): Phone: Fax: