Business of the Quarter Spotlight

Business of the Quarter Spotlight Nomination Form

Business of the Quarter Spotlight - Nomination Form

"(Required)" indicates required fields

Nomination Form

Company / Organization You're Nominating(Required)

Company / Organization Contact Full Name(Required)

First Last

Nominee's Email(Required)

Nominee's Phone(Required)

Company / Organization Location(Required)

City

Company Website(Required)

Industry(Required)

Please provide a brief description of the services/products the company/organization provides (1 - 2 sentences).(Required)

Your Full Name(Required)

First Last

Your Email(Required)

Your relationship to Nominated Company / Organization(Required)

How did you learn about the Business of the Quarter Spotlight?

By checking the box below and clicking the “Submit” button, you hereby certify that all information contained in this nomination form is true and correct to the best of your knowledge. You acknowledge that any misrepresentation or omission of relevant details may result in the disqualification of the nomination. Furthermore, you grant Genesis Bank permission to verify the details supporting this nomination and to contact you and/or the nominee as needed for any necessary follow-up, additional information, or other actions permissible under applicable law. This may include, but is not limited to, email correspondence, phone calls, or other forms of communication. Genesis Bank reserves the right to use the nomination details for evaluation and promotional purposes in accordance with its policies and applicable privacy laws. Failure to submit will result in your nomination not being considered. By submitting this form, I acknowledge and accept the terms outlined in this disclaimer.