George Schroefper Medal

I agree to submit all nomination material to AOCS by the published nomination deadline.

Candidate information

	Name
	Company
	Address
	City
	State/Province
	Postal/Zip
	Country
	Phone
	Fax
	Email

Nomination Submitted by:

	Name
	Company
	Address
	City
	State/Province
	Postal/Zip
	Country
	Phone
	Fax
	Email

= required information