2019 Business of the Year Award

Thank you for nominating an outstanding business for a Montgomery County Chamber of
Commerce Business award. These awards will be presented at the Chamber Annual Meeting
on December 5, 2019.

Please note, an awards committee member may contact you for more details on your nominee.
Help us recognize our local businesses. Please include as much of the following information in your
nomination as you can.

Please submit your nomination for the Business of the Year Award based upon the following:
- Nominee has ideally been an active Chamber member for 3 years.
- Nominee has 25 or more full-time employees.
- Nominee has created jobs within the past 12-18 months.
- Nominee will have made a major or visible contribution in the past year that reflects
commercial growth and achievement, innovation, creativity or community involvement.

MCCC Business of the Year Previous Winners (ineligible for 3 years)
2018 - Real Life Dental
2017 - First Bank & Trust
2016 - SERVPRO of Montgomery and Pulaski Counties

Nominee Name

First Name *

Last Name *

Nominee Organization or Company *

Nominee Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Nominee E-Mail Address *

Nominee Phone Number *

Your Name

First Name *

Last Name *

Your Organization *

Your Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Your E-Mail Address *

Your Phone Number *

In the comment box below please write a summary (200 words minimum) of the ways in which you believe your nominee meets the criteria of the award. Feel free to include any additional information that you find relevant - even if it is not included in the scope of the award category. *

Does the MCCC have permission to disclose your authorship of this nomination? *

Yes No

Signature (By signing I certify that the information presented in this survey is accurate): *

Date (MM/DD/YYYY): *

Format: MM/dd/yyyy

2019 Business of the Year Award

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