L. Ray Buckendale Lecture

Nomination Form

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Nominee

SAE Member Number
(if applicable)
*Nominee's last name:
*First name:
Middle name:
*Is the following address: Home
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Employer:
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*Basis for Nomination:
Below include detailed discussion setting forth the basis for nomination.  Nominee should demonstrate the ability to provide practical and useful technical information in Commercial Vehicle Systems Integration.

Nominator

SAE Member Number
(if applicable)
*Nominator's last name:
*First name:
Middle name:
*Is the following address: Home
Business
Title/Position:
Employer:
Department/Division:
Mail Stop:
Street Address:
City:
State/Province:
Zip+4/Postal Code:
Country:
*Phone:
*Fax:
*Email:
Date of Nomination:

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Nomination Deadline: July 31

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