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Please complete the entire form, all fields are required. Incomplete forms will not be considered. If you have any questions, please contact Roxane Remley. Nomination deadline is: August 19, 2011 at 5:00 PM EST. You can nominate as many businesses as you would like but you will only need to submit one nomination for each organization. Eligibility requirements or a copy of the PDF form to fax and/or mail are also available.

You (the Nominee) will automatically be entered into a random drawing for a $100 Gift Card to the Vintage 50 Restaurant Group! Winner will be announced on August 19th!

 

2012 SMALL BUSINESS AWARD NOMINATION

Organization being nominated:
Organization
First Name
Last Name
Address
City
     
Phone
Fax
Email
Website
Nonprofit?
 Yes No
Submitted by:
Organization
Name
Phone
Email

  

Thank you for your nomination.