Starting point - completion of form
The fields under "organizational unit" are still missing the names of the officers, the proposers, your email, etc. can you please fill those items in? Then it looks complete to me, only one additional comment: the citation is very long and as it is supposed to be engraved on the plaque, could you leave the entire one as a reference/rationale, but summarize a shorter version?
Any changes to the proposal are to be entered by the proposer - on line - I do not communicate via email as it is not in the procedure.