Cooper Small Business Awards 2023 Please only nominate one business and/or employee per form. Question Title * 1. I'm nominating a Cooper Small Business for an Award. Please provide the business name, address and contact information if known. Company Suburb Question Title * 2. I'm nominating this business because... Question Title * 3. Award category for the nomination (choose one only). Health, Wellbeing, and Fitness E.g. gyms, doctors, dentists, physio, etc. Trade & Services - Painting, construction, electrical, etc. Beauty & Hairdressing Food & Beverage (non-cafe) - Bars and breweries, etc. Café & Restaurant Retail & sales Social enterprise / community focus Professional services (finance, architecture, real estate etc) Creative arts – i.e local galleries, community art classes etc Question Title * 4. I'm nominating the following person for a Cooper Business Person Award. Name Company Suburb (if known) Email Address (if known) Phone Number (if known) Question Title * 5. I'm nominating them for the following Award Woman in Business Young Business Person of the Year Question Title * 6. Can we please get your contact information so we can pop you into our draw to win $100 Name Address Suburb Postcode Email Address Phone Number Done