Winner's Form BODC 2019
Email address *
Company name *
First name of owner (there are spots to list multiple owners below) *
Last name of owner (there are spots to list multiple owners below) *
Cell number for verification *
Email address *
First name of owner - If more than one
Last name of owner - If more than one
Cell number for verification
Email address
Street address of business (mailing address) *
City & Zip (of business) *
Phone number of business *
Website address *
Please list any other details you feel will help us.
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