ODC - Free Website - Nominate A Business

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Your name* This field is required.
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Your last name* This field is required.
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Your email address* This field is required.
example@example.com
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Name of the business you would like to nominate* This field is required.
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First name of the business owner or contact* This field is required.
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Last name of the business owner or contact* This field is required.
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What is the position of the contact person provided?* This field is required.
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Email address of the business owner or contact* This field is required.
example@example.com
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Current website URL* This field is required.*If applicable. If the business doesn't have a website, just type in 'Not applicable'
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Can you tell us why you think they should receive a free website* This field is required.We love to know how businesses have served the community, the sacrifices and risks undertaken to build their business and, if you're comfortable, some of the challenges faced. This helps us select the best candidates.
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Ok
Ok
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Any additional comments or information you want to share?
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Ok
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Do you want us to let them know that you've nominated them to receive a free website?
YESNO
Should be Empty: