BUSINESS AWARDS GALA Thursday October 20, 2011

NOTE: * Denotes required elements. You will not be able to submit the form for processing without filling in the proper information.

A business may be nominated in more than one category.
More than one nomination form can be submitted per nominator.

Deadline for nominations is September 2011.

Nominated by:

*Your name:
*Telephone:
Cell:
*Email:
*Can we contact you to discuss your nomination?:

Nominee:

*Company name:
*Type of company:
*Category:
*Years in business (Min. 2 years):
*Number of employees:

*Why are you nominating this company:
Please Note: The number of nominations received does not constitute a winner. Winners will be chosen from the nominations received based on why they were nominated and other judging criteria.

Drop off or mail to: Wetaskiwin Chamber of Commerce 4910 – 55A Street, Wetaskiwin, AB T9A 2R7
Fax: 780-352-6226
email: ba@wetaskiwinchamber.ca

* denotes required field