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2013 LEADERS & LEGENDS NOMINATION FORM
This is an opportunity for you to participate in the nominating process, and nominate an individual that you feel has made extraordinary contributions to their community, profession, and the overall enhancement of the quality of life of others.
Person Who You Are Nominating:
Name Company Name: Job Title: Phone #: Email:
Reasons For Nomination:
Your Information:
Date Submitted: Name: Phone #: Email: Relationship to Nominee:
1335 Dublin Rd. Suite 50-A, Columbus, OH 43215 | P: (614) 824-4154 | F: (614) 824-4158 | artwork@ohioasianleaders.com