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2018 Philadelphia100® Application
Please complete the application below to be considered for the 2018 Philadelphia100® Award.
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* Indicates required question
Company Name
*
Your answer
Please list any name under which the company has operated in the past.
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Web Address
*
Your answer
Year Founded?
*
Your answer
Please indicate which certifications apply to your company
Minority owned
Veteran owned
Women Owned
Other:
Where is your company headquartered?
*
DE - New Castle
PA - Bucks
PA - Chester
PA - Delaware
PA - Montgomery
PA - Philadelphia
NJ - Camden
NJ - Gloucester
NJ - Mercer
Other:
Is your company privately held?
*
Yes
No
What is your ownership structure?
*
Sole proprietor
Partnership
Corporation
Franchise
Division
Subsidiary
Other:
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