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2018 WOMEN'S SUMMIT AWARDS NOMINATION FORM

The Los Angeles Business Journal is proud to honor women of outstanding achievement in our business community. Please complete the form below to nominate an associate, client, co-worker or acquaintance that you believe is an outstanding candidate for our 26th annual Women's Summit. Please note that the information here may be published in the Business Journal. Please take care when filling out the form to ensure accuracy.
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WHO ARE YOU NOMINATING?

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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
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Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid email address. For example email@domain.com
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
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Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
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ABOUT THE NOMINEE

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Please use letters only (a-z) in this field.
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PROFESSIONAL/COMMUNITY REFERENCES (Optional)

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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
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Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
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Please use letters only (a-z) in this field.
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Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
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Please use letters only (a-z) in this field.
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Please use letters only (a-z) in this field.
Please use only letters (a-z) or numbers (0-9) only in this field. No spaces or other characters are allowed.
Please enter a valid $ amount. For example $100.00
Please enter a valid date in YYYY-MM-DD format.
Please enter a valid date in YYYY-MM-DD format.
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Please enter a valid $ amount. For example $100.00
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HEADSHOT & COMPANY LOGO

Please upload a LARGE, HIGH-RESOLUTION headshot for the nominee and a company logo
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