Small Business Nomination Form, 2018

Nomination Form

Please share your thoughts and nominate a small business that has made an impact on our community for the Small Business of the Year Award by March 30, 2018.

For-profit entities within Des Moines County that have fewer than 100 employees are eligible. Nominations must be members of the Burlington/West Burlington Area Chamber of Commerce and have been in business for over two years.

Please take a few moments to complete the fields below. After submission, we’ll contact the area business and ask them a few more questions.

In the meantime, please mark your calendar for the award ceremony at the Small Business Appreciation Breakfast on Friday, May 11th at 7:30 AM.

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* 1. Company Information

Name of the business you would like to nominate: *

Who is the contact at the company we should contact with a few more questions?

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* 2. What is your relationship to the business (please select one):

Business is your supplier

You are a customer

Business is your client

Employee of company

Other

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* 3. Please provide a short summary of why you think this business is a good candidate for the 2018 Small Business of the Year award:

Thank you for making this nomination. Awards will be given at the Small Business Appreciation Breakfast on Friday, May 11th. Please mark your calendar and plan to join us. Remember you have 4 complimentary breakfasts tickets. Call us to reserve your seats!