Dodd's Monument Industrial Award Nominee Form

Purpose: To publicly recognize a company that has distinguished itself in the manufacturing or research and development industry, or in distribution and warehousing.

Eligibility: Any Chamber Member business of the above type in good standing.

Please note: It is NOT required to answer every question but the more detailed information you submit the better the chances for your nominee to win.

Your Name

Your Phone Number

Your Address

Company Name

Company Phone

Company Address

A. Explain how the candidate has demonstrated innovation in product and/or process:

B. Illustrate how the candidate has been recognized as an industry leader in their field through association affiliations, recognition and applicable awards:

C. Describe how the candidate has displayed honorable and ethical operation of the business and demonstrated pride in ownership:

D. Explain how the company demonstrated participation and leadership in the Xenia community:

E. Please add other relevant comments that support the nomination of your company for the Dodds Monument Industrial Award (attach supporting evidence and/or other pages if necessary):

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Dodd's Monument Industrial Award Nominee Form

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