Nomination Form

Use the form below to nominate a Citizen(s), Business, Organization, or Lifetime Achiever who resides, works, or volunteers in the Town of Clarence AND represents an unselfish devotion to improving the quality of life in the Clarence community.

Nominating Party Information

This is your information as the person submitting the nomination.

Your Name (Nominator)(Required)

First Last

Your Address (Nominator)

Street Address City State ZIP Code

Your Phone (Nominator)(Required)

Your Email (Nominator)(Required)

Nominee Information

This is where you tell us who you're nominating and why.

Select the category for this nomination(Required)

Please share the new category that you think would be appropriate.(Required)

Nominee's Name(Required)

This may be a company or a person.

Nominee's Address(Required)

Street Address Address Line 2 City State ZIP Code

Nominee's Email(Required)

Nominee's Phone(Required)

Please describe how this nominee has improved the quality of life and/or involvement in the Clarence community along with their character traits that enable them to receive this honor. *Note that the chamber reserves the right to share these nominations with members of the community including the nominee*

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Comments

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Clarence Chamber of Commerce Annual Business Award Nominations

Nomination Form

Nominating Party Information

Nominee Information