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* 1. Name of nominee (business or business person being nominated):

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* 2. What is the physical address of the business?  (please note that they must be located in the City or District of North Vancouver):

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* 3. What is the first and last name of the business person or business owner/manager (if you know it):

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* 4. Is this business person/business owner under the age of 30 as of December 31st, 2020?

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* 5. What is their work phone number?

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* 6. What is their business email address?

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* 7. Does the nominee know that you have nominated them, as we may wish to contact them for further information?

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* 8. Please describe how the business or business person your are nominating has been able to shine or excel in any one or more of the following areas during Covid-19?  Please give as much information as possible.

- Customer service, service delivery, community service, innovative products or service(s), workplace wellness, business leadership, business creativity, becoming a business inspiration to others, or other...

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* 9. Please tell us your first and last name (the nominator):

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* 10. What is the best number for us to reach you at?

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* 11. What is your email address?

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* 12. Is there any other information or accolades you wish to share about the business or business person you have nominated?

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