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:

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:

SPONSORS


Kaiser Permanente
Ohio Net
Magnet Work