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2012 Manny Nomination Form
Nominated Company Name:
Address:
City, State:
Zip Code:
Description of Nominee's Primary Services:
Number of FTE Employees in 2011:
2011 Fiscal Year End Revenue (Est.):
Primary Law Firm:
Primary Accounting Firm:
Primary Banking Institution:
Category:
New Job Creation
Revenue Growth
Workplace Environment
Product Development
E-Business
Systems Process Innovation
Global Business
Technology Transfer
Quality Control
Employee Safety
Supply Chain Management
Green Initiative
Why the company nominee has excelled in that category.
(Please provide as much detail as possible, and include support material such as project size, jobs involved, creative approach, etc.)
Nominated Company/Organization's
Contact Name:
Contact Phone:
Contact Email:
Nomination Submitted By
(if different from nominee)
Name:
Company/Organization:
Address:
City, State:
Zip:
Phone:
Email:
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