Name of Nominee *

Company with which this individual is associated *

Highest position the nominee attained at this company *

Number of years nominee worked at this company *

Accomplishments attained by company under direction of nominee *

Nominee's contributions to the community *

Nominee's biggest impact on the area's business community *

Nominee's life story *

Other reasons nominees should be included in the Business Hall of Fame *

Nominator's name *

Nominator's phone number *

Nominator's e-mail address *