Print this form out and mail it to PO Box 412, Masonville CO 80541 or fax it to 970-669-7929
COLORADO WOMEN OF INFLUENCE NOMINATION FOR MEMBERSHIP
Is someone you know a candidate for membership in Colorado Women of Influence™, LLC ?
Your Name:
Phone: Email:
INFORMATION ABOUT THE PERSON YOU ARE NOMINATING:
First Name:
Last Name:
Email address:
Website:
Company Name:
Street Address:
City, State, Zip:
Phone Number:
Fax Number:
Business/Industry:
Things we should know about this person before making contact:
Why are you nominating her?
Check the category applicable to this woman:
❑ An established business owner with an annual gross revenue in excess of $100,000, who exercises the power to make policy decisions and is actively involved in the day-to-day management of the firm.
❑ A sole proprietor, consumer-direct or direct-sales business owner who has achieved executive status and is recognized as a top producer & leader in her company because of exceptional sales and leadership responsibilities, whose agenda is to build a sustainable, relationship-driven business.❑ A corporate executive who is the senior operating manager (President or VP) or chief decision maker for her company or non-profit organization, or a former chief decision maker.
❑ An entrepreneur whose company has annual gross revenues in excess of $100,000, who is running the company-day-to-day, who founded the company and /or her current ownership interest provides active control over the company.
❑ An educator, associated with a higher learning institution.
❑ An elected official.
❑ A “leader in the community.”
❑ "Other considerations."
Mail or fax this form to Colorado Women of Influence
PO Box 412, Masonville CO 80541
970-669-5089 Fax 970-669-7929
Form Nomination Rev February 14, 2009