Do you have a nominee for the

New York Convenience Store Hall of Fame?

Established in 1996 as part of NYACS' 10 th anniversary celebration, the Hall of Fame honors individuals who have compiled an exemplary record of active and distinguished service in New York's convenience store industry over an extended period.

This is your opportunity to suggest a deserving retailer and/or supplier for possible induction into the New York Convenience Store Hall of Fame on May 12, 2005 during the NYACS Trade Show & Convention in Syracuse.

Print out the form, fill it in, and mail or fax it to NYACS.

I, _______________________________, of _________________________________

                             (your name)                                                         (NYACS member company)

wish to nominate the following for induction into the Hall of Fame.

Retailer: _________________________________________________

Supplier: _________________________________________________

Please submit form to:

NYACS Hall of Fame Selection Committee

130 Washington Avenue, Suite 300, Albany NY 12210

Fax 518-432-7400