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Nomination Form

  1. BUSINESS INFORMATION

  2. Address, City, State, ZIP

  3. ADDITIONAL INFORMATION

  4. Provide a brief startup history of your business.

  5. How did you develop the skills necessary to start your business?

  6. (e.g. your company mascot or pet, a fun event your company held, the unorthodox way your leadership team brainstorms, the unusual ways your team communicates, etc.)

  7. DOCUMENTATION

  8. Four photos are required. One file may be your company's logo.

  9. Leave This Blank:

  10. This field is not part of the form submission.