2021 AIM NA Awards Submission Form

Complete the form below and submit to AIM NA prior to the submission deadline on Wednesday, December 15 at 11:59 PM ET.

    Nominator Contact Information

    Award Options

    Nominee Information
    Max file size: 20MB
    Release Form
    I agree that AIM NA retains the right to use any of the enclosed information for promotional purposes, editorial coverage, demonstration purposes, and pre/post-event promotion.  I have read the rules of the competition, and I understand the requirements and my commitments if selected as a winner in the AIM NA Awards. I have read and I understand the contest rules. I declare that the information supplied in this entry form is accurate and correct.
    Disclaimer
    In no event shall the AIM NA Awards program, or AIM NA including its affiliates, successors, officers, directors, employees, and agents, be liable for any direct, indirect, incidental, or consequential damages arising out of or in any way related with this Entry Form or the AIM NA Awards.
    Indemnification  
    By submitting this entry, I or the organization with which I am associated and have the authority to bind, do hereby release and hold harmless AIM NA, and its affiliates, successors, officers, directors, employees, and agents from and against any and all losses, damages, or expenses of any nature (including reasonable attorney fees) that may arise from my participation or acceptance of a prize. Such indemnification shall include, but is not limited to, any claims based upon an alleged infringement of copyright or other proprietary rights. 

    Submission of this completed form is considered by AIM NA as an electronic signature of an authorized representative for the company named below.