20 Under 40 form

NOMINATE A BUSINESS STAR TODAY!
Nominate a Barton or Pawnee County business star making a mark with professional success and community involvement. The nominee must be under 40 years of age as of January 1, 2024. Deadline for nominations is Wednesday, September 5, 2023. Selections will be published in a glossy magazine format on October 26, 2023.

Candidates should have achieved professional success and be active in community matters. Form must be filled out completely and accurately. (Candidate will not be considered with incomplete registration)

Nominee’s Name:*

First NameLast Name

Nominee’s Date of Birth:*

Nominee’s Company/Business Title:*

Nominee’s Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Nominee’s Phone:*

Area CodePhone Number

Nominee’s E-mail:*

Describe Nominee’s Professional Success:*

Community Involvement:*

Why is this person a great 20 Under 40 Candidate?:*

Nominee's Photo Upload (Optional)

Browse Files

Submitted by:*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com