13th ANNUAL
SMALL BUSINESS EXCELLENCE AWARDS LUNCHEON
May 2 at the Doubletree Hotel, Syracuse
May 9 at The Desmond in Albany

11:30 a.m. to 1:30 p.m.

SMALL BUSINESS SELECTION FORM
Submit by Friday, February 25, 2011

Complete online now
or print this form and fax to (315) 471-9273

SELECTION CRITERIA:
 1. Select a small business that you are proud to be associated with and make sure they can attend the luncheon
2. The business does not need to have an SBA loan
3. The business should meet SBA's criteria for "small" business click here for "small" business size standards
4. Make sure the business is in good financial condition

WITH YOUR SELECTION FORM, SEND THE FOLLOWING FOR THE LARGE SCREEN AUDIO-VISUAL PRESENTATION TO cathy.pokines@sba.gov:

• Your logo, camera-ready, e-mail file or on disc (only if you did not attend the luncheon in 2010)

• 2 colored photos - preferably a jpg file (each no larger than 2 MB)
One of the business owner(s)
One of a product, building or sign.


Questions ??? Call Cathy Pokines (315)471-9393x241

Name of organization nominating this business
Name of person completing form phone fax Email


THE FOLLOWING INFORMATION ABOUT THE SMALL BUSINESS YOU HAVE SELECTED IS REQUIRED:
This will be in the luncheon program so please make sure this information is complete and the spelling is accurate!

Business Name:
Owner(s) Name:
Address: City State Zip
Business Phone: Fax: Cell: Email:
Business website: Type of Business:
Current number of employees: Amount of SBA loan and year (if any): $ Year
Use of SBA loan proceeds:
Year the business started Number of years as your customer

Please provide a business profile, including the business history, products, progress, number of employees and any other interesting details. This will be used in the souvenir luncheon program.


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You will receive a confirmation to print out after you click on the submit button above.

February 25 - Reservation Deadline: submit, “PARTNER RESERVATION FORM”
Complete online or fax to 315.471.9273 or email to cathy.pokines@nybdc.com

February 25 - Small Business Selection Deadline

February 25- Payment due: to NYBDC-Small Business Luncheon,
Mail to: PO Box 738, Albany, NY 12201-0738 Attn. Brittany Bernhoft
To obtain an invoice or pay by credit card contact Brittany at (518)463-2268 or bbernhoft@nybdc.com