Art Glass Association

Lifetime Achievement Award Nomination Form

This award is to recognize, nationally or locally, distinguished people who've had a creative impact on or over the industry. The nominee need not be an AGA member, but you must be an Art Glass Association (AGA) member to nominate.

Your Member Number: A value is required.Invalid format.

Your Member Name: A value is required.

Your Contact Phone: A value is required.Invalid format.
(in case we need to contact you; please include area code)

Your Email: A value is required.Invalid format.

Fill in nominee's information as completely as possible

Nominee's Name: A value is required.Invalid format.

Their Business Name:
(if applicable)

Reference:
(A location, contact number, or other means we can use to locate your nominee)

Achievement: list their accomplishments here and how they have advanced the industry