Nominee Information

Please read theĀ guidelines for nomination before filling out the form.

* 1. Name of the business you are nominating:

* 2. Contact information for your primary point of contact at this business:

* 3. If this business is selected as a finalist for the Prize, who should we work with to coordinate their recognition and participation in the Summit (same or different than your primary contact?)

* 4. This is a business that has been revenue positive for at least 3 years.