Back to Media Awards Home Page Entry Form For: Agency Professional of the Year Please enable JavaScript in your browser to complete this form.The award given to an individual from the Western Region who works in advertising, marketing or public relations who provides outstanding service and professionalism to their market, beyond the normal requirements of the position.Nominee NamePositionWebsiteCompanyNominee AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNominee Email *Nominee PhoneAdditional Link 1Additional Link 2Company Logo/Photo of Nominee Click or drag a file to this area to upload. State how entrant Displays integrity and character that is recognized throughout the industry *State how entrant Provides service to professional organizations benefiting a market within the Western Region *State how entrant Maintains a high level of performance with a focus on outcomes that are recognizable benefits to the industry *State how entrant Works to benefit the community in ways not required for his/her position. *Upload Samples Click or drag files to this area to upload. You can upload up to 3 files. Submitter Name *FirstLastSubmitter Email *Submitter PhoneStripe Credit Card *CardName on CardEntry FeePrice: $ 45.00Submit