Jersey's Best Nomination Form 2020

NOMINEE INFORMATION
Nominee Name*

First NameLast Name
Nominee Title*
Nominee Email*
example@example.com
Nominee Phone Number*

Area CodePhone Number
Nominee Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What special skills, abilities, insights make this nominee stand out?
How has the nominee been an exemplary leader? How have they shown creativity, motivated others, overcome challenges, promoted excellence and innovation, or bettered their environment.
How has the nominee inspired others, grown their business or helped others achieve their vision?
Has the nominee earned any other award for marketing or advertising in the past? i.e. Jersey Award
Is the Nominee Born After April 24th, 1979?

Yes
NOMINATOR INFORMATION
Nominator Name*
Nominator Company*
Nominator Title*
Nominator E-mail*
Nominator Phone Number:*

Area CodePhone Number
Nomination Fee*
prevnext( X )
Nomination Fee$25.00
All transactions will be completed by PayPal.
Please attach headshot of nominee if available. (The headshot will be used for the event program in April)*

Browse Files
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By clicking the "Pay Now" button you are submiting your online application and will be re-directed to Paypal to submit your payment. Once we recieve your payment, we will contact you about your Membership.

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NOMINEE INFORMATION