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Activity Submission Form
"GO FOR THE GOLD" ACHIEVEMENT AWARDS
For 2008 award guidelines, click here.

Please complete each field in the form below, and when finished, click the submit button. There will then be a confirmation page where you may print out a copy of this entry for your records. It is recommended that you do so at this time as point totals are not available until after the program ends.

Only activities held between August 1, 2007 and July 31, 2008, are eligible. Use a separate submission form for each new activity.

Fields marked with an asterik (*) are required fields.
Congress*
Category of Activity*
Enter Point Value   Click here to determine the activity point value!
Date of Activity*
Where Activity was Held*
Description of Activity*
Submitted By*
Position*
Address*
City*
State*
ZIP*
Telephone* (Ex. 999-999-9999)
E-Mail Address
Must be submitted by August 1, 2008.
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