The National Historic Chemical Landmarks Program

PRE-NOMINATION FORM

NATIONAL HISTORIC CHEMICAL LANDMARKS PROGRAM

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Sponsor:

Local Section, Division, or Committee:

Date of Submission to ACS Headquarters:
Primary Preparer:	(to whom correspondence should be addressed)
Address:
Telephone:
Fax:
E-Mail:

Please complete and submit this form for ACS Landmarks Committee evaluation of a potential candidate for landmark nomination. (Any subsequent nomination submitted is subject to the approval of the National Historic Chemical Landmarks Program committee. Encouragement to submit a nomination after preliminary review does not ensure that the nomination will be approved.)

Complete information for categories (a) through (d).

a. Seminal achievement:

b. Significant historical date(s):

c. Historical significance of this work:

d. Location:

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