VIP List nomination form

VIP List Nomination 2019

Complete this form to nominate an individual for The Daily Record's 2019 VIP List. Please know that all fields are required.

Nominees are eligible if they are born after Jan. 1, 1979.

To be eligible for this award, the winner must live in or work in Maryland at the time of judging. Honorees for this award are chosen by a panel of judges comprised of past honorees and business leaders.

Nominations are due June 4th, 2019.

Nominee's Name*
First Last
Company/Affiliation*
Work Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Why do you think this person is a Very Important Professional?*
Your Name*
First Last
Email*
Phone*
Notify me by email with special offers and events, including information about this event.
- Yes