Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Nominator NameFirstLastNominator Email *Nominator Phone NumberMember SecondingSeconder Phone NumberNominator Email *Member to be considered for life membership of GIAVYour connection with the nomineeDetails of nominees' service to GIAV Nominator nominee your Describe the qualities the nominee displayed that prompted your nominationPlease provide two examples of how this nominee has made outstanding contributions to the work of GIAVAny other relevent comments or information you would like to includeSubmit
