Quality Excellence, Government Contracts, and Business Partnership Award Winner FormPlease fill out the form below. This will help us make the necessary arrangements. Award Winner Details Name and Title of Individual(s) Who Will be Accepting the Award Onstage * Preferred Name(s) if Different Phonetic Pronunciation of Individual(s) Who Will be Accepting Award Onstage * Acceptor Email Address(es) * Acceptor Cell Phone Number(s) (Note: We may text this number with on-site updates.) * Nonprofit Agency Name (for Quality Excellence Award and Government Contracts Award) or Business Partner Organization Name (for Business Partnership Award), Exactly as It Should Appear on Trophy and in Video * - Select -CorsageBoutonniere Would the award acceptor prefer a (wrist) corsage or (pin-on) boutonniere for the Awards Banquet? * - Select -CorsageBoutonniere Optional award acceptor: (wrist) corsage or (pin-on) boutonniere - Select -CorsageBoutonniere Optional award acceptor: (wrist) corsage or (pin-on) boutonniere - Select -Taking in Personal LuggagePlease Ship Trophy Will the award acceptor be transporting the trophy home in their personal luggage, or should the trophy be shipped separately? * If shipping is preferred, please provide a mailing address and contact name for the package. Media Participation PreferencesAs part of Award recognition, there may be opportunities for interviews or promotional features. To help us plan media opportunities in a way that feels comfortable for you, please indicate which interview formats you are open to. LiveIn-person recordedZoom interviewPhone interviewWritten Q&AI am open to all formatsNone - our organization is not open to media opportunities at this time Preferences * NPA Nominator (for Business Partnership Award) Full Name of Person from NPA Who Will be Attending Xforce Preferred Name if Different Email Address * Cell Phone Number (Note: We may text this number with on-site updates.) * - Select One -CheckACH Deposit to NPA Preference for NPA Award Payment Name/Organization as It Should Be Written on Check Media Participation PreferencesAs part of Award recognition, there may be opportunities for interviews or promotional features. To help us plan media opportunities in a way that feels comfortable for you, please indicate which interview formats you are open to. LiveIn-person recordedZoom interviewPhone interviewWritten Q&AI am open to all formatsNone - our organization is not open to media opportunities at this time Preferences * High-Res Logo of Winning Business Partner/Nominating NPA/NPA Winner (as applicable) * A high-resolution logo ensures optimal quality for printing and digital display. Please upload a logo file with a minimum resolution of 300 DPI (dots per inch) in a common format such as PNG, JPEG, or SVG. If unsure, a high-resolution image typically appears sharp and clear when zoomed in. Upload Unlimited number of files can be uploaded to this field.2 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Submit