2008 OTC WOMAN IN TRUCKING AWARD APPLICATION

NOMINATOR’S CONTACT INFORMATION:

^NAME	^RELATIONSHIP TO NOMINEE
^ADDRESS LINE 1 **	^PHONE NUMBER **
^ADDRESS LINE 2 **	^EMAIL ADRESS

NOMINEE’S CONTACT INFORMATION:

^TITLE	^NAME
^ADDRESS LINE 1		^PHONE NUMBER **
^ADDRESS LINE 2		^EMAIL ADRESS

NOMINEE’S TITLE: (circle one)

_{OWNER OPERATOR TRUCKING COMPANY OWNER}

_{COMPANY DRIVER TRUCKING INDUSTRY PROFESSIONAL}

_{FREIGHT BROKER FREIGHT FORWARDER}

_{INDUSTRY EXECUTIVE OTHER _______________________}

NOMINEE’S PROFESSIONAL HISTORY:

^{NUMBER OF YEARS IN THE INDUSTRY:}

^{PREVIOUS AWARDS OR ACCOMPLISHMENTS:}

^{REASON(S) FOR ENTERING THE FIELD:}

** Optional Information

ADDITIONAL INFORMATION:

Ø Why should the Nominee be considered as the award recipient for the 2008 Woman in Trucking Award?

Ø What major obstacles (personal or professional) has the Nominee overcome?

Ø What has been the Nominee’s most significant contribution to the industry?

Ø Please list any further information (including special circumstances not mentioned above) which would aid the decision making process.

WE WILL CONTACT THE WINNER BY APRIL 1, 2008. PLEASE DO NOT CALL TO CHECK THE STATUS OF THE APPLICATION. WINNER WILL BE NOTIFIED BY MAIL AND PHONE CALL (IF PHONE NUMBER IS PROVIDED). THANK YOU FOR SUBMITTING YOUR APPLICATION TO THE ORLANDO TRUCKERS’ CONFERENCE. DON’T FORGET TO SAVE THE DATE: MAY 15-17, 2008.