Nomination Form | Alabama Manufacturer of the Year

APPLICATION INFORMATION

Nominee

Company Name (as desired on award communications)

Site Location

Primary Company Contact

Title

Office Phone and Extension

Cell

Contact Email

Mailing Address

City

State

Zip Code

Secondary Contact

Secondary Contact Title

Secondary Contact Email

Number of employees at nominated site location

Year Established

Website

Industry description/NAICS Code(s)

Name

Title

Company/Organization

Office Phone

Cell

Reason(s) Why Company is Being Nominated

I verify all the information I submit is correct to my knowledge and the primary contact person is aware of the nomination.