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Company Name*

Primary Contact*

First Last

Primary Contact Email*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you receive a 2024 Elan award is your mailing address for the award the same as your billing address?*

Yes

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

My Phone Number is...*

North America

International

North America Phone Number*

International Phone Number*

How many entries are you submitting?*

You are submitting one entry

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer) (If a Concept Card, Identify Below)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting two entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting three entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting four entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting five entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting six entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting seven entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

You are submitting eight entries

Please fill out the information below.

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Name of Card*

Entry Category*

Manufactured For (Issuer/Customer)*

Date Manufactured (Month/Year)*

Date Issued (Month/Year)*

Is this card part of a series ?*

You will be asked to select ONE card from this series to be part of the People's Choice category when given your ID numbers

Yes

Number of cards in the series?

Judges Description*

(Describe the unique features or functionality of the card in detail. This information will be used by the judges so elaborating on details of the card is important.)

Public Description*

(Describe the unique features or functionality of the card that any attendee can read. Do not reference your company name or include any proprietary information pertaining to your company.)

Payment

Payment Option (Please select what payment process you are using)

Credit Card

Bill Me

Total

Make checks payable and mail to:

ICMA
191 Clarksville Road
Princeton Junction, NJ 08550

Please include a copy of your confirmation, which will be sent by email.

Credit Card

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