Awards for the Mayor’s Bicycle Advisory Committee (MBAC)
1. Please select the MBAC award that you want to nominate for a individual or entity below:
Choose the Award
Business
Organizational
Youth
Individual
Provide Justification for Nomination
Kindly please explain why the Nominee should be recognized by the Commission and the Mayor. Please provide an description in the above text box with justification for the nomination to be considered for a MBAC Awards.
2. Nominee Information
Nominee's Name (Individual & Entities)
First Name/ Entity Name
Last Name
Nominee's Phone Number
Nominee's E-mail Address
example@example.com
Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3. Nominator Contact Information
Your Name
First Name
Last Name
Your E-mail Address
example@example.com
Your Phone Number
Your Address-OPTIONAL
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Send Nomination
Should be Empty: