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