40 Under 40 Nomination Form

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In order to nominate someone for the “40 Under 40”, the nominee must reside and work in Central California, and be under the age of 40 sometime during the current calendar year. Please completely fill out the nomination form below, including a descriptive narrative of about 250 words as to why the nominee should be a member of the next "40 Under 40" Class. Please list any of their accomplishments or recognition in this narrative.

Nominee's Name (first and last) *

Nominee's Birthday

Nominee's Company/Affiliation *

Nominee's Address *

Nominee's Phone Number *

Nominee's Email *

Nominator's Name (first and last) *

Nominator's Business/Affiliation *

Nominator's Address *

Nominator's Phone Number *

Nominator's Email *

Descriptive Narrative: Please attach a narrative comprising 250 words or less describing your reasons for this nomination. *

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