Nomination for the SAS Distinguished Alumni Awards

Nominee's Name _______________________________________________________

Nominee's Title ______________________________________________________

Nominee's Address ____________________________________________________

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Please write a short description of the nominee's accomplishments.

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Your name (optional) _________________________________________________




Please return this form by September 30, 1996, to:
Distinguished Alumni Awards Program
SAS External Affairs
3440 Market Street, Suite 300, 
Philadelphia, PA 19104-3325