Pioneer Awards Nomination Form

The NJESA 50th Anniversary Gala Event

Honoring the Pioneers of the New Jersey Security Industry

October 5 at Caesar’s Palace, Atlantic City

Awards Nomination Form

In order to qualify for any of the following awards, an individual or company must have started in the New Jersey security industry at least 25 years ago. You can nominate yourself or someone else. You can also nominate a company or individual. If an individual or company qualifies for more than one award, please use multiple forms. We will have separate categories and award winners. Awards and recognition will be given only to attendees of the awards dinner. A special committee will choose the award winners and winners will be notified in advance.

Nominee Name

Nominee Company

Nominee Address

Nominee Suite

Nominee City

Nominee State

Nominee Zip Code

Nominee Telephone

Nominee Cell Phone

Nominee Fax

Nominee E-mail

Nominee began in the NJ security industry:

45+ years ago 35+ years ago 25+ years ago

Nominee has been involved in the NJ security industry as (select all that apply):

Individual Installation or Service Company Manufacturer Distributor Monitoring Company

Nominee has served on the Board of Directors:

Yes No

Position held (if applicable):

If you are nominating someone else as listed above, please fill out your information

Name

Company

Address

Suite

City

State

Zip

Telephone

Fax

Cell Phone

E-mail

About the Nominee

Please submit a 150 word (maximum) description explaining when, where and how the nominee started in the alarm industry. This description, or parts of it, will be used if the committee chooses the nominee to receive the award. It may also be used in the NJESA newsletter Insights, our website and other industry
publications.

Description

Awards Nomination Form

About the Nominee

Nominee:

Nominated By: