2017 Annual Award Nomination Form
Nomination is for which award category?
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New/Emerging Business
Young Professional
Business of the Year
Lifetime Achievement
Ambassador of the Year (must be a member of Ambassador Club)
Name of business or person that you are nominating
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If a business, who is the contact person?
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First
Last
Business Address
Street Address
Address Line 2
City
State
ZIP
Contact Phone
Contact Email
Website
Number of years in Business
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If individual, number of years employed at this business
Age
For young professional only.
Your Name
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First
Last
Person making nomination.
Phone
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Email
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What is your relationship to the nominee?
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How long have you know them or been involved with their business?
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Using the space below, describe why you think this person or business should be considered for the award. Please refer to the category descriptions and provide information based on it in addition to other comments. You may send additional information to attach to your nomination via email.
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