10K Small Business_ Nomination Form

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Nominate an Iowa Small Business or Nonprofit for the

Goldman Sachs 10,000 Small Business Program

First Name:

Last Name:

Email Address:

Your Business Name:

Nominee Information:

Nominee First Name:

Nominee Last Name:

Nominee Email Address:

Nominee Phone #:

Nominee's Business Name:

Disclaimer: This information will not be shared outside of the Goldman Sachs 10,000 Small Businesses Program Iowa Team.

Note: We’d like to collect both the nominee’s email and phone number if possible, but we understand nominators may not always have both.

Thank you!

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