Journal of Clinical Lipidology
Editorial Board Nomination Form

Please use the form below to submit nominations for individuals (including yourself) to participate as editorial board members for the forthcoming Journal of Clinical Lipidology to be published by the National Lipid Association in conjunction with Elsevier. If you do not have all the information required by this form, please just redirect your nominated individual to this page.

First Name:	(Required)
Middle Name:
Last Name:	(Required)
Degree:
Address Line 1:	(Required)
Address Line 2:
City:	State: Zip: (Required)
Phone:	(Required)
Fax:
Email:
Attach CV:
Validation:	(Required) Enter the code displayed in the image at right into the box on the left.