Your Name * First Name Last Name Your Email: * Your Phone #: * (###) ### #### Nominated For: * Entrepreneur of the Year Non-Profit of the Year Business Excellence (10 employees or less) Business Excellence (11 employees or more) Company Name * Nominee or Owner/Manager Name * First Name Last Name List 3 ways in which the nominee has made a positive impact on the Altona area: * Thank you! Nominate by March 14, 2025