Women Crush Wednesday

Women Crush Wednesday
Please provide the full name of the WWW Nominee*

PrefixFirst NameLast NameSuffix
What city/state does she reside in?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you nominating:*
Is she a:*
What is the name of her business?*
How long has she been in business?*
What is her profession?*
What is her title*
What city/state is her business located?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What's the best email for her?*
Does she have Social Media?*

YesNoNot Sure
Her Facebook ID
Her IG ID
Her Twitter ID
Her LinkedIn Profile ID
What makes her a "Boss Queen"?*
Please upload a picture*

Browse Files
jpg, jpeg, png only Cancelof
Can I add you to my mailing list?*

YesNo
Please provide your email address
Anything else you'd like to share?
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When notifying the individual listed, she will be informed that she was nominated as well as who she was nominated by. I am requesting your email address, so that you will be copied on the announcement email.
Your Name*

First NameLast Name
Your email address*
Relationship to the Nominee
Your Social Media Handles
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Thank You!
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