NOMINATION FORM
FOR CABLE TV PIONEER MEMBERSHIP
1CANDIDATE INFO2CAREER SUMMARY3QUALIFICATIONS4SPONSOR INFO
1
CANDIDATE INFO
2
CAREER SUMMARY
3
QUALIFICATIONS
4
SPONSOR INFO
  • Information provided will be used in producing PR and promotional materials.
  • Part A. Candidate Information

    Contact information will only be used for Cable TV Pioneer communications.
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  • High Resolution Color Photo Preferred. Accepted formats: JPG, PNG, TIF (or ZIP Archive of these formats)

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