2017 Women in Business Recognition

Application

 

 

Nominee:_____________________________________________

 

Business Name:_________________________________________

Number of Employees:_________________

 

Address:________________________________________________

 

Telephone:_________________ Cell:________________________

 

Fax:_______________________ Email:_______________________

 

Length of Employment:____________________________________

 

Nominated by:___________________________________________

 

****Please attach an explanation of why the above person should be recognized for her efforts to create a viable and productive business.

 

Personal/Professional Achievements:________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Awards/Recognition:________________________________________________________________________________________________________________________________________________

 

Community Service:

________________________________________________________________________

________________________________________________________________________

 

Send forms by August July 21st to Fort Payne Chamber of Commerce,  300 Gault Avenue, North, Fort Payne, AL 35967 or fax to 256-845-5849