Montana Land Title Association
2005 Service Recognition

Please list all the people in your office (members and members' employees) who will have 5, 10, 15, 20, 25, 30, or more years (any number of years divisible by 5) in the title business sometime during the current year.

Company:
Address:
City/State/Zip:

 

Name

Number of Years Service

1  
2  
3  
4  
5  
6  
7  
8  
9  
10  


Attach additional page if necessary.
Information submitted by:
Phone #:

Eulogy: Below, please submit the names of any owners, managers or long term staff persons who have passed away in the last year so that we may recognize them at our annual convention. We may have already acknowledged them with an obituary, but please submit any pertinent information so that we might honor them.

Return this Nomination Form by July 15, to:

MLTA Office
ATTN: Russ Gowen
PO Box 6322
Helena, MT 59604