JM100 Nomination Form 
Jackson McCrea is selecting 100 women to stand with us as disruptors in the male-dominated whiskey space, to ensure women are seen, celebrated and meaningfully engaged. The JM 100 is a collective of women leaders who will act as our social impact advisory to help carry our mission for women and wellness.

To hear more details about our membership, listen to our 10-minute informational video at https://www.jacksonmccreawhiskey.com/jm100-information-session. The Password is GOODHEALTH100 (case sensitive).
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Email *
First and Last Name  *
Title  *
Company Name
Website  and/or LinkedIn Profile *
Phone 
Are you a member of JM100?  *
Is this a self-nomination? *
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