1.What is your name?

2.What is your email address?

3.What is your phone number?

4.Name of the business you wish to nominate:

5.Location of the business:

6.What is the contact name for the business owner or manager?

7.Business contact email:

8.Business contact phone number:

9.Please provide a description of what the business needs. Please include the scope of work, why it's necessary, and the timing for the project, if you know that information. 

10.What is it about this business that makes you excited to nominate them?