Small Business of the Month Nomination

Business Name *

Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Current Owner(s) *

Main Contact

First Name *

Last Name *

Phone Number *

Nominee's Email *

Nominee's Website *

Nominated by *

Phone Number *

Why are you nominating this business for Small Business of the Month? *

Upload File

Please feel free to attach additional information that might assist committee members in getting to know you, your business and your employees.