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Nomination Form for Member Service Awards

By completing the Member Service Award nomination form, you and a fellow OPPI Member agree to nominate an OPPI Member in good standing, for a Member Service Award. 

Please Note: It is recommended that you use a personal computer to make your submission. Workplace servers may block this form from being submitted to OPPI.

Nomination Endorsement


Please upload a high quality image, suitable for publication on the website and print materials. This will help ensure your image is not blurry or pixelated.
Profile of Nominee

Retype the numbers below:
 Security code
To submit this form, click the SUBMIT button. If there are errors or omissions, you will be prompted to correct these and then re-submit the form.