Cumberland Chamber of Commerce – Nomination Form
Business Awards 2023
Nominee
Name: ____________________________________ Company: _____________________________________
Address: _______________________________________________________________________________________
Telephone: _____________________________________
Email: ___________________________________________
Award Being Nominated For: (Please check one)
( ) Business of the Year (Five or less Employees)
( ) Business of the Year (Six or more Employees)
( ) Exporter of the Year
( ) Not-for-profit of the Year
( ) Town of Amherst – Community Support and Service Award
Briefly tell us why this business / organization should receive an award while referencing the qualifications and standards described.
List three ways in which the nominee has made an impact in the community.
- _________________________________________________________________________________________________
- _________________________________________________________________________________________________
- _________________________________________________________________________________________________
Nominated by
Name: _________________________________________________________________________________________________
Telephone: ___________________________________________________________________________________________
Email: _________________________________________________________________________________________________
Would you like your nomination to remain anonymous? Yes ____ No ____
Nominator’s Signature: ___________________________________________ Date: _________________________
Thank you for your nomination!
Please forward by September 1st to one of:
email – info@amherstchamberns.ca
Cdn Post – P.O. Box 283, Amherst NS, B4H 3Z4, or
hand deliver – 210-5 Ratchford St. Amherst, (CCUBIC)