BusinessNorth Northland Entrepreneur Awards

Northland Entrepreneur Awards

Please fill out this form to nominate for an award.

1. Choose the Award
Choose the Award

Small Business of the YearYoung EntrepreneurNoteworthy Start-Up
Reason For Nomination
Explain why your nominee deserves the selected award.

2. Nominee Information
Nominee's Name

First NameLast Name
Nominee's Business Phone Number

Area CodePhone Number
Nominee's E-mail Address
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Your Information
Your Name

First NameLast Name
Your E-mail Address
Your Phone Number

Area CodePhone Number
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
BusinessNorth Northland Entrepreneur Awards
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