Top Women in Alabama Media Nomination Form

Nominator Information
Name*
First Last
Job Title*
Email Address*
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Tell Us About Your Nominee
Name*
First Last
Job Title*
Email*
Company Name*
Market*
Address*
Street Address Address Line 2 City State (Must be AL) ZIP / Postal Code
Phone*
Website
Facebook
LinkedIn
Twitter
What makes this person among the Top Women in Alabama Media?*
500 word maximum
Any other information you would like to share about the nominee (testimonials/accolades)?
500 word maximum
Upload Color Photo of Nominee (Optional)
Accepted file types: jpg, Max. file size: 1 GB.
JPG files only. File size: 1 megabyte minimum, 3 megabytes maximum. Do not use screenshots. Title the photo as "NOMINEE LAST NAME, NOMINEE FIRST NAME."
Upload Supporting Short Video Clip (Optional)
Max. file size: 1 GB.

Nominator Information