P.O. Box 632
461 S. Thompson Ave.
Excelsior Springs, MO 64024
Phone 816-630-6161

Office Hours: 10 a.m. - 3 p.m.

Chamber Award Nomination Form

The Excelsior Springs Chamber of Commerce thanks you for your interest in nominating a business for a Chamber of Commerce Award.

Award Nomination: Please indicate the award for which you are nominating the company. Please click on "criteria" for full details of criteria for each award. You may submit forms for more than one category.

Small Business of the Year - criteria
Medium Business of the Year - criteria
Business of the Year - criteria

Your Contact Information





Email Address

Business Nominee Description:

This section will be used to describe the business that you have nominated for an award. Tailor your reponses to the questions listed below to include as much specific information as possible. This will greatly assist the judges when they review your nomination.

Business Name



Contact Name

Contact Title


Years in Business

Number of Employees

Why have you chosen your nominee for recognition?
Describe the business/individual you have nominated, and the key reasons you have chosen to nominate this business. Please use as much space as necessary.

How has this business met the criteria for the award?
Please refer to the specific criteria of each award which can be found by "criteria" beside the award choice above.

Is there any additional information you feel should be added?

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