Business Name:

Address:

City: State:   Zip:

Telephone: Fax:

E-mail:

Website:

Owner/Contact:

Give a brief description of the business, including why you recommend them:

Nominator's Name:

Business Name:

Telephone: Fax:

E-mail Address:

Nomination Requirements:

*    Company must be a current member of the Mobile Area Chamber of Commerce
      for a minimum of one year;
*    Company has been in operation for a minimum of five years;
*    Company has prospered under the nominee’s guidance;
*    Company has exhibited revenue and/or employee growth;
*    Company is a for-profit company;
*    Company has evidence of community service contribution or involvement;
*    Company must have less than 100 employees; and
*    Company must be headquartered in Mobile, Baldwin or Washington counties.