Small Business of the Year Nominee

Fill out the form below to nominate an Individual, Business or Organization (under 20 employees) for the 2021 Awards of Excellence Gala - Small Business of the Year Award.

First Name*

Last Name*

Email Address*

Phone*

Name of Nominee*

Describe the nominee’s approach to business excellence including organizational leadership, number of years in business, and strategic approaches.*

Describe the nominee’s successes in sustained financial growth and performance.*

Give examples of how the nominee exceeds customers’ expectations / outcomes.*

Illustrate how the nominee embraces a commitment to quality.*

How does the nominee positively impact the Brockville and district community?*

Additional Information*

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Nomination Submitted By

Location of nominees business*

Number of years in business*

Is the nominee aware of this nomination?*

Is the nominee a member of the Brockville & District Chamber of Commerce?*

Contact information for nominee*

Contact information for nominator