NOMINATOR INFORMATION

Nominator First Name *

Nominator Last Name *

Nominator Job Title/Role *

Nominator Business Name or Organization *

Nominator Email Address *

Nominator Phone Number (enter numbers only) *

NOMINEE CONTACT INFORMATION

Nominee First Name *

Nominee Last Name *

Nominee Job Title or Role *

Nominee Date of Birth (YYYY/MM/DD) *

Nominee Email Address *

Nominee Phone Number (enter numbers only) *

Nominee Company Name *

# of Years with Company *

City *

State *

Country *

Describe in 200 words or less why this person is a phenomenal contributor to the commerce marketing industry. *

0/200 words

List any notable achievements of the nominated individual. *

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