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40-Under-40 Nominations

Gulfshore Business welcomes you to nominate yourself or someone else for the September 2019, 40-under-40.  Nominees must still be under 40 by Sept. 1 and the nominator must be a current subscriber of Gulfshore Business.  The information below will not be published without the nominee / winner’s permission.

DEADLINE to nominate: April 15, 2019

Please fill out the form completely and take time to fully explain why the nominee should be a 40-under-40 honoree. 

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!

Nominator 

* Name of nominator:
* Nominator's Phone #:
* Nominator's Email:
* Confirm your complimentary subscription to Gulfshore Business: Yes 
* Sign me up for the Gulfshore Business Daily free e-newsletter:  Yes 
In order to verify your request for this publication without the availability of a signature, the United States Postal Service requires that we ask a personal identifying question. The information is used solely for the purpose of auditing your request.
* In what month were you born: 

Nominee

* Nominee's Full Name:
* Nominee's Address:
   Address 2:
* Nominee's City:
* Nominee's Zip Code:
* Nominee's Phone #:
 ex: 123-456-7890
* Nominee's Email:
* Nominee's Date of Birth  ex: 01/15/1945
   Age
* Nominee's Place of Business
* Nominee's Occupation:
* Community involvement:
* Honors and/or awards:
* How this person distinguishes himself/herself:
* Other information to share (hobbies, family, military service, education degrees):

 

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