50 Most Influential Nomination Form

January is our 50 Most Influential People edition.
Please fill in the following fields to submit your nomination.

Submit your nomination by end of day November 5th

Your Information

First Name

Last Name

Company Name

Job Title

Phone Number

Email Address

Subscribe To CBM eNews?

Candidate's Information

First Name

Last Name

Company Name

Industry/Market

Address

City

State

Zip Code

Phone Number

Email Address

What has this person done to make a positive impact and/or influence this year? (be specific to projects and accomplishments):