Organization Name*

We will be participating at this year's event.*

We will be selecting an annual award recipient.*

We will have___recipients in 2025 (Please fill out the information below for all recipients).*

How many seats will your organization use at the event? (Your contribution includes a table of 10 seats - at least two must be for the recipient. If you would like to purchase another table or tickets, please contact info.nhedies@gmail.com.*

How many seats will your organization provide to the award recipient/guests?*

The organization has not yet selected a recipient. However, we will submit that information by the deadline of March 1, 2025.*

The organization has already selected a recipient (if yes, please complete the below for each recipient)*