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FANTASTIC 50
Fantastic 50 Nomination

Please fill out the following form as completely as possible. The DEADLINE for nominations is December 5, 2010.

Eligibility Requirements:
  • Nominees must be privately held companies headquartered in Virginia.
  • They will be ranked by four-year total growth rates (2006-2009).
  • Their base fiscal revenues (for 2006) must exceed $200,000 and their most recent fiscal revenues (for 2009) must be less than $100 million.
  • They must also demonstrate positive revenue growth and positive net income in their most recent fiscal year compared to their previous year.
  BOLD fields are REQUIRED

Company Info

Company Name:
Contact First Name:
Contact Last Name:
 
(Please provide address for company headquarters)
 
Mailing Address:
 
City:
State:
Zip:
Tel:
Fax:
Email:
URL:

Nominated By

First Name:
Last Name:
Company Name:
Address:
 
City:
State:
Zip:
Tel:
Fax:
Email:
URL:




Questions/Help

If you have any questions about the Fantastic 50 award program, please call Cyndi Miracle or Karen Surmacewicz at 804-644-1607, or email at c.miracle@vachamber.com or k.surmacewicz@vachamber.com.

For questions about the application form, please call Traci Lewis at (804) 474-1255 or email at tlewis@goodmanco.com.
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