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Or Fill Out the Form Below to Nominate a Business:

COMPANY:

Company Name: Street Address: City: State: Zip: Company Contact: Phone (xxx-xxx-xxxx): Email: Category: Small (under 100 employees) Medium (100-500 employees) Large (Over 500 employees)

Nominator:

Name: Company Name: Street Address: City: State: zip: Phone (xxx-xxx-xxxx): Email: Briefly describe the actions or activities that lead you to nominate this company: