An independent retailer with one outlet only. * Your Full Name * Your Email * Your Phone Number * Nominee's Name * Nominee's Phone Number * Nominee's Website Nominee's Email Nominee's Social Media Accounts * Tell us about the Independent Retailer you are nominating: * How many outlets does this Independent Retailer have? * How has this retailer gone above and beyond for their community? * What makes this retailer stand out from the crowd? * Why do you think this retailer should win this award? * Provide an example of this retailer championing independent products? Upload any supporting evidence here: Select Files File uploading tick here to remove Upload Crop Image Width: Height: Lock proportions: Resize Image Submit
