Small Business Nomination Form, 2015

1. Nomination Form

Do you know of a small business that makes an impact on the community?

Take the time to share your thoughts and nominate a Des Moines County business for the Small Business of the Year Award by April 20, 2015.

For-profit entities within Des Moines County that have fewer than 100 employees are eligible.

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 15th at 7:30 A.M. at Comfort Suites Conference Center.

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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 2015 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 15th. Please mark your calendar and plan to join us. All Des Moines County Small Businesses receive 4 complimentary breakfasts!