Nominate Small Business

EVERY QUESTION MUST BE ANSWERED COMPLETELY. IF NOT, THE NOMINATION MAY NOT BE CONSIDERED

How did you hear about us?	Radio Newspaper Website Facebook E-mail Friend/Family Phonebook Direct Mail Word of Mouth Other (specify)
Award Category	New & Emerging (in business for less than 2 years)
	* Nominees in the categories below MUST be in business for more than 2 years
	Retail/Wholesale
	Service
	Professional
	Construction/Contracting
	Non-Profit Organization or Governmental Agency
	Main Street Business of the Year
	Family-Owned Business of the Year
	Young Entrepreneur (must be under age 30)
Years in Business	Years Months
Location	Boyd County Greenup County Carter County
Number of Employees	(At start-up)
	(Currently)
Name of Business
Name of Owner
Business Address
City
State	Kentucky Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Viriginia Washington Washington DC West Virignia Wisconsin Wyoming
Zip Code
Business Phone
Describe the company's products/services:
List community involvement (include both business and owner activities):
How has the business responded to adversity and/or problems:
Outline changes and/or improvements that have contributed to growth (for example, expansion, hiring/training employees, securing new contracts, changes/improvements to facilities, etc.):

Nominator's Name
Phone Number
YOUR Email Address

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