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Small Business Recognition Form

Nominating Company or Organization information:

First Name *
Last Name *
Title *
Business/Organization Name *
Address 1 *
Address 2
City *
State *
Zip Code *
Phone
Fax
Email Address *
Website

Company Information / Award Nominee:

First Name *
Last Name *
Title *
Business/Organization Name *
Address 1 *
Address 2
City *
State *
Zip Code *
Phone
Fax
Email Address *
Website

Why Does This Nominee Deserve This Award?

Breifly describe why this company deserves recognition by the Small Business Council of the Rogers - Lowell Area Chamber of Commerce. Eligible candidates will be judged on such things as contribution to our community, outstanding customer service, unique ideas (products, marketing, etc.) and inspiring success stories.

***This must be completed for nominees to be taken into consideration.***

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