Managing Partner Awards nomination

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This field is for validation purposes and should be left unchanged.

Nominee Name*

First Last

Write the first and last name of the person you are nominating above.

Name as you'd like it to appear in print*

Please spell out the pronunciation of your whole name (for announcing on stage during awards ceremony)*

For example, "Jay-cubs" for Jacobs

Nominee Company/ Affiliation*

Write the company name of the person you are nominating above.

Select a category*

Finance

Law

Work Address*

Street Address Address Line 2 City State ZIP Code

This work address should reflect the company of the person you are nominating.

Nominee phone number*

Please include best phone number for person you are nominating above.

Preferred email address*

Please list the nominee's email address, NOT the email address of the individual filling out the form.

Why do you think this person deserves Managing Partner Awards recognition?*

Your Name*

First Last

Your Email*

Please enter a valid email address. We will send your receipt to this email address, from stripe.com. The subject line will include BridgeTower Media, the parent company of The Daily Record.

Your Phone*

Your Company*

BLT Managing Partner Awards

Total

Billing Address*

Street Address Address Line 2 City State ZIP Code

Credit Card*

Card Details

Cardholder Name

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