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Top 10 Under 40
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About
Top 10 Under 40
Nomination Form
Criteria
Contact
Name of nominee
*
First
Last
Birth Date
*
MM slash DD slash YYYY
Name of Company
*
Location of Company
*
City, Province
Job Title
*
Nominee's Email
Your relationship with the nominee?
*
How long has this person been with the company?
*
Why does the nominee deserve recognition?
*
Max. 400 words highlighting innovations, outstanding accomplishments, commitment to company/industry, work with industry organizations, etc…
Nominated by
*
Your Email
*
All entries for the Top 10 Under 40 must be accompanied by 3 high-resolution photos of the nominee, at least one in the work environment. Please upload the photos using this form or send the photos electronically to:
Andrew Snook Editor, Rock to Road magazine
asnook@annexbusinessmedia.com
Images
*
Drop files here or
Select files
Accepted file types: jpg, png, Max. file size: 32 MB, Max. files: 3.
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