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Entrepreneur of the Year Nomination Form

Entrepreneur of the Year Nomination Form 2022

This form can be filled out either by the nominee or another person.

Nominee Full Name*
Nominee Email*
Nominee Phone*
Business Name*
Job Title*
Business Address*
Brief Description Of Business*
Year Business Was Established*
Number of Employees*
Annual Revenue*
If this form was not filled out by the nominee, please enter your name, email and phone number
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