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Empire Awards- Senator Gaughran
Nomination Form for the NY Senate's Empire Awards
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* Indicates required question
Name of Business
*
Your answer
Business Owner's Name
*
Your answer
Business Address
*
Your answer
Business Phone Number
*
Your answer
Business Email Address
*
Your answer
Owner's Phone Number
*
Your answer
Owner's Email
Your answer
Type of Business
*
Your answer
Your Name
*
Your answer
Your Email
*
Your answer
Your Phone Number
*
Your answer
Why should your nominee be chosen as a 2019 New York State Empire Award Winner?
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Your answer
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