Preliminary Nomination Form

Nominee Information

Nominee’s Name

Nominee’s Title

Phonetic pronunciation of first and last name (eg. Luczkiw = Luch-KEY)

Company Name

Phonetic pronunciation of company name (eg. Cirque de Soleil = Seerk doo so-LAY)

Address

City

Postal Code

Email

Business Phone

Website

Briefly describe products or services in 25 words or less. (This description may be used in our media and print materials.)

Please indicate the Category(ies) for which the nominee meets the criteria and would like to be considered for. Rank in order of preference. Example: 1 being your first preference, 2 being your second preference etc.

• Emerging Entrepreneur Award
• Innovative Small Business Award
• Tourism Enterprise Award
• Established Enterprise Award
• International Trade Award
• Agriculture Enterprise Award
• Family Enterprise Award
• Technological Innovation Award
• Environmental Award

Nominator Information

Nominator

Address

City

Postal Code

Email

Phone