August 8, 2003

RBC Center, Raleigh, NC

5:30 - 8:30 p.m.

Please complete the following application to nominate a company, team or individual for one of CED's 2003 Entrepreneurial Excellence Awards (only one nomination per form).

The application deadline is June 15, 2003.

Please Choose Category:

Entrepreneurial Excellence Award
Outstanding Service to Entrepreneurs Award
Innovation/Technology/Product of the Year
Spinout/Spin-off of the Year
New Category:

Your Name: Company:
Your Phone: Email (if checked regularly):
Relationship to Nominee, if any:


Nominee Information (* Fields are required. Please provide as much information as possible to speed the process.)


*Name: *Title:

*Company or Organization:		 Year Founded:
Email: WWW Address (if exists):

*Business Address:


*City: *State: *Zip:


*Phone: *Fax:


Type of Business Activity:

Primary Service or Product:

Please state the reasons why this company, team or individual should be considered for the award checked above. Please provide specific information which relates to the criteria of the award checked. The application deadline is June 15, 2003.

 



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