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40 Under 40 Entry Form - 2012

Gulf Coast Business Review's 40 Under 40

The Gulf Coast Business Review is scouting for bright, young business leaders for the 13th year of the popular “40 under 40” issue. It’s open to entrepreneurs, executives and professionals in any field or industry from Tampa to Naples.

Please nominate anyone you think should be featured in the issue.
1.Nominee's name(Required.)
2.Nominee's city of residence(Required.)
3.Nominee's age
4.Short bio/resume(Required.)
5.Nominee's email address
6.Nominee's phone number
7.Nominator's name(Required.)
8.Nominator's email address(Required.)
9.Nominator's phone number