Rancho Penasquitos Business/Organization of the Year

Community Partners Business of the Year Nomination Form

This Business of the Year Nomination form must be received by the Town Council not later than 12 noon, Thursday, April 6, 2017. All Community Partners are eligible for nomination

The winner will be notified by telephone or email no later than April 15, 2017. Award presentation will be made at the Fiesta de los Penasquitos

Deadline to submit April 13, 2019

Date

Nominee Business/Organization Name *

Nominee Business/Organization Contact Person Name *

Nominee Business/Organization Web Site

Nominee Email *

Nominee Phone *

Nominee Street Address *

How long has the nominee been located in Rancho Penasquitos? *

Briefly describe specific efforts in which the nominee has participated to benefit the community of Rancho Penasquitos. *

Briefly describe how the nominee distinguishes itself from other businesses/organizations in the community. *

Provide a brief history of the nominee. *

Nominator Name

Nominator Phone or Email

Nominator Statement of Understanding *

I certify that all of the above information is true and correct to the best of my knowledge and I agree to physically sign a copy of this nomination form if necessary.

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