2020 Regenerative Business PRIZE PRE-PROPOSAL SURVEY

Nominee Information

Please read the guidelines for making nominations before filling out the form. The deadline for pre-proposal submissions is March 16, 2020.

Question Title

* 1. Name of the business you are nominating:

Question Title

* 2. Contact information for your primary point of contact at this business:

Name

Title/Position

City/Region, Country

Email address

Phone number

Question Title

* 3. If this business is selected as a finalist for the Prize, who should we work with to coordinate their recognition and participation in the Summit (same or different than your primary contact?)

Same as primary contact

Different than primary contact

Alternative contact name & email address:

Question Title

* 4. This is a business that has been revenue positive for at least 3 years.

Yes

No