EmailMe Form - 2024 ANA NAAEMS Awards Nomination Form

Tell us about the nominee:

Name *

First Last

ANA Member Number

If applicable.

Phone

### - ### - ####

Date of Birth

MM / DD / YYYY

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Tell us why your nominee is deserving. TO BE VALID, EACH AWARD MUST INCLUDE A BIOGRAPHY OF THE NOMINEE. To provide a biography, answer the questions below OR attach a file immediately below. Biographies must be between 50 and 100 words. *

The above nominee deserves this honor because of his/her contributions to and achievements in the field of medallic art; Please attach pictures of five (5) art medals created by the nominee OR websites where they can be viewed.

JPEG and PNG formats accpeted.

Website Page URL

Please list any exhibitions that included medals by the nominee:

Please list published works that feature medals by the nominee, including title, publisher and date published

Please list any awards received by the nominee, including the year the honor was received.

Tell us about you.

In case we have any questions about the nominee, how do we get in touch with you?

Your Name *

First Last

ANA Member Number

If applicable.

Email *

Phone *

### - ### - ####

Questions?

Please contact Douglas Mudd, Chairman NAAEMS Committee: mudd@money.org or to Donna Nuñez, Awards Coordinator, American Numismatic Association, 818 N. Cascade Ave., Colorado Springs, CO 80903, email: nunez@money.org or faxed to 719-634-4085. Call 719-482-9811 for more information.