Nomination Form - Texas Treasure Business Award printable pdf download

Nomination Form - Texas Treasure Business Award

TEXAS TREASURE BUSINESS AWARD

Nomination Form

________________________________________________________________________

BUSINESS NAME:

(As it will appear on the certificate)

This business is nominated by:

State Senator

Office contact ________________________________

____________________________________________ Phone number (________)______________________

Email _______________________________________

State Representative

Office contact ________________________________

____________________________________________ Phone number (________)______________________

Email _______________________________________

Other Nominator

Contact title _________________________________

____________________________________________ Phone number (________)______________________

Nominator signature __________________________________________________ Date _______________

BUSINESS INFORMATION:

Owner/President/CEO______________________________________________________________________

Principal place of business: _________________________________________________________________

Address____________________________________ City ___________________ TX Zip Code _________

Type of business _____________________________ Date Founded ________________________________

(month/day/year)

Number of locations in Texas ___________________

Business Contact ____________________________ Phone (______)_______________________________

Email______________________________________ Business website______________________________

Has the business been owned by the same family for at least 50 years?

Yes

[Not required.]

Has the business operated in the same building for at least 50 years? [

Yes

[Not required.]

If so, please provide the address if different from the one above.

Address____________________________________ City___________________ TX Zip Code _________

Who do we send the award to?

Nominator

Business Owner

Address____________________________________ City ___________________ TX Zip Code _________

This application continues on the next page.

Nomination Form - Texas Treasure Business Award