Name of Candidate *

Company *

Phone *

Email *

Cellphone *

Current Position *

Office Address *

Criterias *

Please attach a one pager expanding on the following Criterias: 

1. Years of continuous service
2. Leadership
3. Commitment to PRMA’s Vision and Principles
4. Advocacy
5. Important Contributions to the Manufacturing Industry
6. Credibility

20MB max

Nominator Name *

Nominator Company *

Nominator Phone *

Nominator Region *

Enter required value Metro Metro East Metro West Estern Central North South West