Nomination Form
NOMINATION FORM
2013 Excellence Awards
To be announced at the Chamber Annual Meeting and Dinner to be held
September 30, 2013 6:00 pm
St. Florian Hall, 286 Luray Drive, Wintersville, OH 43953
Celebrate the community spirit of Jefferson County by recognizing the
Outstanding Contributions of its Citizens and Businesses
Use separate form for each nomination and attach any additional pages needed for nomination.
Criteria for categories are listed on back of this form.
Nominations must be returned to the Chamber, 630 Market St., Steubenville, OH 43952
_____ Company of the Year (More than 3 years in Business)
_____ New Business of the Year ((Less than 3 Years in Business)
_____ Chamber Businessperson of the Year
_____ Lifetime Achievement Award (Does not require a Chamber membership)
You may nominate yourself or your own business. The winners will be selected by the Jefferson County Chamber of Commerce Annual Meeting and Awards Dinner Committee.
Nominee: __________________________________________________________________________
Nominee’s Business: _________________________________________________________________
Address: ___________________________________________________________________________
City: ___________________________________ State: _________________ Zip: ______________
Years in Business: __________ Nominee’s Phone Number: (_____) ____________________
Nominated by: ______________________________________________________________________
Nominator’s Phone Number: (_____) ____________________
Nominee’s Qualifications: _____________________________________________________________
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