Accepting nominations through January 21, 2022

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* 1. Name of individual you are nominating:

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* 2. Nominee's occupation:

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* 3. Nominee's email:

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* 4. Nominee's phone number:

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* 5. Describe why this individual should be nominated to be part of 12 Under 40. Include business, civic, and community contributions (up to 1000 words):

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* 6. Your name:

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* 7. Your email:

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