John Hurty Award Nomination Form August 31, 2021 Nominee Name (First and Last) Name of Person Submitting Nomination* Utility Or Company Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Year Started in the Water Industry Number of Years in the Water Industry List Current Utility or Company AND Any Other Utilities Worked Questions??? Please email Megan Fleming, INAWWA Admin Assistant: megan.fleming@inawwa.org Subtotal Options Total John Hurty Award Nomination Form quantity Add to cart
