Contra Costa Council
Small Business Awards Nomination
Honoree Information Form

Each year, the first week of May, the Contra Costa Council honors the Contra Costa County Chambers of Commerce Businesses of the Year. These selections are made by each Chamber and this event serves as a way to recognize each of the Chamber's honorees in a county wide forum for the wonderful contributions both the Chambers and the Honoree's provide their communities.

To that end, we need your help in providing the following information in a timely manner.

Chamber Name

Primary contact for the chamber:

Name:
Email: Phone:
Your Chamber Honoree
Name of the Name of the Business as it is to be recognized:
Owner/Recipient's Name:
Phonetic spelling for pronunciation:
Adress:
City: Zip Code:
Email: Phone:
Eligibility

1. Please provide a brief description of the nature of your honoree's business, What does this business do?

2. Why did your chamber select this year's honoree?

3. Please provide a brief history of the Business/Owner or any other details that will be used to introduce him/her.

4. Please submit three (3) to five (5) photos (jpg format) of the honoree that we may use in the recognition.

Photo #1:
Photo #2:
Photo #3:
Photo #4:
Photo #5:

Please complete this interactive form and submit!

DEADLINE: APRIL 5, 2013
if not received we may not be able to recognize.

   

A confirming email will be sent to you upon submittal.

Contra Costa Council - (925) 246-1880 | Questions? e-mail: tshoaff@cococo.org

www.contracostacouncil.com