ARCPA Awards Nomination Form

Name of the Award *

Nominee *

Firm or Company of Nominee *

Your Name *

Your Address *

Your Email Address *

Your Phone Number

If you have any questions, please contact

Robin Harris

501-664-8739 or 1-800-482-8739 in AR

Email: rharris@arcpa.org

Arkansas Society of CPAs

11300 Executive Center Drive

Little Rock, AR 72211-4352

Fax (501) 664-8320

Once we receive the nomination, we will send you and/or the nominee a complete packet to list their various accomplishments. The award winners are also automatically nominated for the national AICPA awards, if applicable, in each respective category.