Please complete the requested information on this form and submit it by 11:59 PM on September 18, 2026 in order to be considered for participation in the Challenge.

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1. Company Name (Required.)

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2. Contact Name (Required.)

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3. Title (Required.)

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4. Email Address (Required.)

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5. Phone (Required.)

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6. Company's Maryland Address (If multiple locations, list Howard County address) (Required.)

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7. What year was the company founded? (YYYY) (Required.)

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8. Company Website (Required.)

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