24th Annual KOSBE Awards IMPACT Nomination Form

There is no fee to nominate a small business or individual for KOSBE Awards. The deadline for entries is 11:59:59 EST on October 31st, 2018. Small businesses may also self-nominate. Visit www.kosbeawards.org for the official rules, sponsorship opportunities, and more details.

1. Does the individual you are nominating live or work in Kingsport? *This question is required.

2. Nominee Info:

First Name *This question is required.

Last Name *This question is required.

Company Name *This question is required.

Title

Street Address

Apt/Suite/Office

City

State

Zip

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

Mobile Phone

URL

3. What significant impact has this individual had on your small business or the small business community as a whole? Explain why you are nominating him or her. *This question is required.

4. I wish to remain anonymous *This question is required.

5. Nominator's name

6. Nominator's email This question requires a valid email address.

7. Nominator's phone