Melvil Dewey Medal Nomination Form

An annual award for recent creative leadership of high order, particularly in those fields in which Melvil Dewey was actively interested: library management, library training, cataloging and classification, and the tools and techniques of librarianship. 

I wish to nominate the following:
zip, zip+4, or Canadian postal code
format 123-456-7890 x1234 (extension is optional)
Nominated by:
zip, zip+4, or Canadian postal code
format 123-456-7890 x1234 (extension is optional)