2018 Alabama Manufacturer of the Year Nomination Form

NOMINEE

Company name (as desired on award communications):
Company contact for award communications:
Title:
Telephone: Cell: Fax:
Contact email:* (REQUIRED)
Mailing address:
City: State: Zip:
Number of employees at the Alabama plant:
Year Established (ex:1998)
Industry descripton and SIC/NAICS Code(s):
Website:
Application completed by (if different than company contact for award communications above):
Contact person:
Contact phone number:
Application authorization name of highest ranking local company officer

NOMINATOR (Leave blank if Self-Nominated)

Name: Title:
Company/Organization:
Telephone: Cell: Fax:
Email:
Mailing address:
City: State: Zip: