Submit your nomination here:

1. Fill out the form.
2. Attach your letters of support and a brief essay describing how the business/individual meets the criteria of the award category they are nominated for:

Call (714) 528-1873 with any questions Deadline January 1, 2019, 4:00 pm

First Name:

Last Name:

Email

Award Category

Nominee Information

Individual/Company Name:

Company Contact (Name & Title):

Address:

Telephone:

Email:

Year Business Established:

Nominator Information

Name:

Company/Orgainaztion:

Email:

Attach your files in pdf or word documents

Placentia Chamber - 714-528-1873
117 N Main St
Placentia CA 92870
info@placentiachamber.com