2025 Small Business Of The Year Application

Contact Information

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* 1. Business Name

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* 2. Headquartered in the Kansas City Region?

Yes

No

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* 3. Name and title of owner(s)/principal(s)

Mr./Ms./They

Mr./Ms./They

Mr./Ms./They

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* 4. Percentage of ownership:

Mr./Ms./They

Mr./Ms./They

Mr./Ms./They

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* 5. Business Contact Information

Address:

City:

State:

Zip:

Business Phone:

Primary Contact Email:

Website:

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* 6. Social Media information, if applicable.

X (Formerly known as Twitter):

Instagram:

Facebook:

LinkedIn:

Other:

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* 7. Please designate one primary contact person - please ensure that this person will be available and actively communicate with Chamber staff.

Name:

Email:

9% of survey complete.