Nomination form, Excellence in Consumer Advocacy Award, Consumer Reports

In this report: Consumers Union Excellence in Consumer Advocacy Award; Nomination form and rules

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Consumer Reports

Excellence in Consumer Advocacy Award

Nomination Form

Do you know of exciting and innovative work in consumer advocacy in the past year that deserves recognition and support? We want to do just that. Help us identify an individual or small non-profit organization in the United States whose work has positively impacted the lives of consumers through policy advocacy or direct action in the marketplace at the local, state, or national level.

Nomination deadline is midnight, Eastern Daylight Time, WEDNESDAY July 13, 2011.

We will contact all nominees to verify their interest and identity and to gather more information supporting their nomination. Have questions? Have a look at the FAQ and read the Official Rules.

Award Nominations 2011

*1.

Question - Required - Name of person you would like to nominate:

Question - Not Required - Your nominee's organizational affiliation if any:

*3.

Question - Required - Your nominee's e-mail address:

(Maximum response 255 characters, approx. 5 rows of text)

Question - Not Required - Nominee's Facebook profile:

(Maximum response 255 characters, approx. 5 rows of text)

Question - Not Required - Link to relevant YouTube video (if any):

(Maximum response 255 characters, approx. 5 rows of text)

*6.

Question - Required - Your nominee's physical (mailing) address including city, state and zip:

(Maximum response 255 characters, approx. 5 rows of text)

*7.

Question - Required - How has this person improved the lives of consumers? Please provide a brief description including the consumer problem being addressed and the activities of your nominee that were innovative, inspiring, or effective. If you are nominating yourself, also very briefly describe how the award will support your work.

Please provide your name and address so we can contact you about your nominee:

	Title:
*	First Name: Required
*	Last Name: Required
*	E-mail: Required
*	Street 1: Required
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Phone Number: Required

*9.

Question - Required - I have read and agree to be bound by the Official Rules.