2017 Economic Impact Awards Nomination Form
Please start by filling out some information about yourself, the nominator.

Please fill out your name:

Please enter the company or organization you work for and your job title:

Please enter your work address, including postal code:

What is your work phone number?

Please fill out the rest of the questions about the company and/or individual you are nominating and provide as much information as possible.

Please enter the company title or individual's name you are nominating:

Please enter the company title or name of the person you wish to nominate:

Please provide the company contact person if you are nominating a company:

Please provide your nominee's contact information including phone number and/or email:

Briefly describe how this company or individual has had a significant impact on the Cape Breton and Mulgrave economy over the past year. Be sure to include how they may have attracted new investments to the region, expanded an existing business, created a new business or supported an improved business climate.

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