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40-Under40 Nominations

Gulfshore Business magazine welcomes you to nominate yourself or someone else for the 2017 40-under-40 issue coming this September. We will identify 40 individuals who have distinguished themselves in their professions and in the community. We require that nominees must still be under 40 by Sept. 1. Please complete the requested information below and submit it electronically by clicking 'Submit'. We will not publish street addresses, phone numbers or e-mail addresses. The deadline is April 15.

Please fill out the form completely and take time to fully explain why the nominee should be a 40-under-40 honoree. For example, what are some of his or her achievements at work or in the community? Does the person have any interesting hobbies?

Only one nomination is necessary, because our panel of judges will choose winners on merit rather than popular vote. Also, we will not accept multiple people per nomination—for instance, husband and wife teams or groups from the office.

Thank you!


I would like to nominate...
* Full Name:
* Address:
   Address 2:
* City:
* Zip Code:
* State:
* Country:
* Daytime Phone #:
 ex: 123-456-7890
   Cell Phone #:
 ex: 123-456-7890
   Home Phone #:
 ex: 123-456-7890
* Email Address:
* Date of Birth  ex: 01/15/1945
   Age
* Name of Business
* Occupation:
* Community involvement:
* Honors and/or awards:
* How this person distinguishes himself/herself:
* Other information to share (hobbies, family):
About myself...
* Name of nominator:
* Daytime phone #:
* Email Address:

 

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