Statesboro Herald 20 under 40 Nomination Form

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Nominate a Bulloch County business star. The nominee must be under 40 years of age as of January 1, 2016. Deadline for nominations is March 23, 2015. Selections will be published in the Statesboro Herald in late April.
Candidates should have achieved professional success and be active in community matters. Form must be filled out completely and accurately. (Candidate will not be considered with incomplete registration).

Sponsored by Statesboro Herald and Lori Grice Photography

Nominee's Name *

Date of Birth *

Nominee must be under 40 years of age as of January 1, 2016

Nominee's Company/Business Title *

Nominee's Address *

Nominee's Phone *

Nominee's Fax *

Nominee's Email *

Describe Nominee's Professional Success *

Community Involvement *

Why is this person a great 20 under 40 Candidate? *

Nominated By *

Company *

Phone *

Fax *

Email *

Submit

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