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* 1. Who are you nominating for the Top Businesses Awards?

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* 2. Which category are you nominating this person for? (check all that apply)

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* 3. What is your name, email address and phone number?

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* 4. What is your nominee's email address and phone number? (Optional)

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* 5. Please provide a brief explanation of why this person, company should be honored.

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* 6. Please attach photo of your nominee

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