| Company: * |
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| Contact First Name: * |
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| Contact Last Name: * |
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| Job Title: * |
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| Address: * |
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| City: * |
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| Prov./State: * |
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Other
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| Postal/Zip Code: * |
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| Phone No.: * |
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| Fax: |
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| Email: * |
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| Country: * |
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| How did you hear about us: * |
Other
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| ENTRY INFORMATION |
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| Entry Category: * |
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| Name of Product/Service: * |
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| Entry Title: * |
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| Entry URL: * |
http:// |
| User Name: if applicable |
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| Password: if applicable |
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Technical Requirements:
Please list a minimum browser and plug-in
requirements for viewing site (i.e. Requires
Flash 3.0 or greater etc.) |
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Optional Notes:
Outline a path for judges to follow which
highlights the best elements of your entry. |
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| WINNERS INFORMATION |
This information will appear in print and online with the entry if it wins. |
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| Company: |
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| City: * |
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| Prov./State: * |
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Other
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| Phone No.: |
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| Email (published): * |
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| Winner's Web site URL: |
http://
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| Winning site URL: |
http://
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Description of entry: *
75 words max; will be published |
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