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* 1. Company/Organization Name

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* 2. Upload your organization's logo (high-res, 300 dpi).

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

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* 3. Mailing Address

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* 4. Company Website

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* 5. Number of Employees

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* 6. Years in Business

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* 7. Main Contact Full Name

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* 8. Main Contact Title

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* 9. Main Contact Email

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* 10. Main Contact Phone

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* 11. Tell us about your organization in 50 words or less.

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* 12. In 100 words tell us why your organization is the best fit for this award (Please note: should you win, this response will be used in the presentation of your award.)

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* 13. Select your award category, then answer the corresponding questions in 200 words or less.

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