Name of Business Being Nominated *
Address of Nominated Business *
Primary Email for Business being Nominated *
Phone Number of Nominated Business *
Nominee’s involvement in and support of the community during 2014
Significant accomplishments, improvements, or success stories achieved during 2014
Leadership roles or significant accomplishments in the community or industry served during 2014
Philanthropic contributions made in the community during 2014
Other supporting reasons for nominating this business
Nominated By (anonymous nominations will not be considered): Include Full Name, & Day-Time Phone Number *
E-Mail of person submitting nomination: *
Nominations due by December 12, 2014