2019 Top Woman-Owned Businesses Nomination Form

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* Submitter Contact Information

First Name

Last Name

Title

Company

Phone

Email

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* Name of Company

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* Company Website

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* Brief Description of Company (no more than 50 words)

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* Year Founded

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* Total Number of Employees

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* Percentage of Women in the Company’s Workforce

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* Total Annual Sales

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* Percentage of Year-Over-Year Growth in Annual Sales in Last Fiscal Year

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* Name of Primary Business Owner(s)

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* Name of Top-Ranking Woman/Title

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* Describe the Most Impressive Accomplishment of this Individual in the Last 12-18 Months (no more than 75 words)

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* Describe an Impressive Achievement of this Entrepreneurial Enterprise in the Last 12-18 Months (no more than 75 words)