IPM Innovator Award - Nomination Form

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You can nominate a candidate by filling out and submitting this form. You can make your nomination brief as we will get details from the nominated groups. If you have problems using this form contact Doug Downie at (916) 445-0430, fax at (916) 324-9006 or e-mail at Douglas.Downie@cdpr.ca.gov

The deadline for nominations for the 2015 awards is July 1.


Candidate Organization or Group:


1.
Contact Information   (Please complete all fields)

(a).    Contact person for the Organization:
 Name:   
 Address:
 Telephone:
 FAX:
 E-mail:
     
(b).   Name of person making nomination. We may want to contact you for more information. Please provide telephone number and email.
 Name:
 Telephone:
 E-mail:
   
2.   Why does this organization or group deserve an IPM Innovator Award?
 



For content questions, contact:
IPM Innovators Program
Doug Downie
Department of Pesticide Regulation
Pest Management & Licensing Branch
P.O. Box 4015
Sacramento, CA 95812-4015
Phone: (916) 445-0430
Fax: (916) 324-9006
E-mail: Douglas.Downie@cdpr.ca.gov