2021 Fast Track 50 Nomination Form Please make sure you have all of the necessary information before you begin the nomination process. This form can not be saved and then continued at a later time. All nominations are due by Friday, July 16. Question Title * 1. Please provide the following: Full Company Name CEO/President/Owner Year Founded Email Question Title * 2. Please enter your company's contact information: Address City/Town ZIP/Postal Code * Phone Number (xxx-xxx-xxxx) Question Title * 3. Please enter your mailing address if it is different from your company address. Address City/Town State/Province ZIP/Postal Code Question Title * 4. Please provide a brief business description for the development of the program. (Limit your description to 100 characters.) Question Title * 5. How would you like the name of your business listed on the plaque? (Please ensure everything is spelled correctly.) Question Title * 6. In which county is your business located? Lake County Geauga County Question Title * 7. How did you hear about the Fast Track 50 Award? (Check all that apply) Chamber Social Media Postcard Word of Mouth News Herald Other (please specify) Next