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South Central Association of Blood Banks
2901 Richmond Road, Suite 130-176
Lexington, KY 40509
Phone: (866) 649-6550 Fax: (866) 649-6590
SCABB Award Nomination Form
Please select the Award for which you would like to nominate an individual or group as appropriate.
AWARDS
The President's Award of Merit -Outstanding Individual
The President's Award of Merit -Outstanding Contribution
Larry L. Trow Memorial Education Award
Dr. Gottlieb Rising Star Award
The Cornerstone Award
Nominator
Name (First and Last)
Company Name
Address (line 1)
Address (line 2)
City
State
Zip
Telephone
Fax
E-mail
Nominee
Name (First and Last)
Company Name
Address (line 1)
Address (line 2)
City
State
Zip
Telephone
Fax
E-mail
Additional Nominee Information (Maximum 500 words):
