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PIPELINE RESOURCES

Select the categories for which you would like your nominee to be considered:

Editor's Choice - By Default

Please provide the following information about YOUR company:

Company Name
Company URL
Contact Name
Contact Email
Contact Phone
Shipping Address
Street:
City:
State/Province:
Postal Code:
Product/Solution Email(if applicable)
Product/Solution Url(if applicable)
Product/Solution Description(if applicable)
Payment options:
Option #1:
Invoice MY COMPANY for the entrance fee of $2495 plus $375
       for each additional category.
Option #2:
Invoice my NOMINEE for the entrance fee of $2495 plus $375
       for each additional category.
Option #3:
I am a SERVICE PROVIDER company and the entrance fees have been waived.

Option #4:
I am a PL Nominee. Invoice MY COMPANY for the applicable entrance fee and $375
       per additional category.

Please provide the following information for THE COMPANY YOU ARE NOMINATING (if different than above):

Company Name
Company URL
Contact Name
Contact Email
Contact Phone
Shipping Address
Street:
City:
State/Province:
Postal Code:
Product/Solution Name(if applicable)
Product/Solution Url(if applicable)
Product/Solution Description(if applicable)
Please provide a brief explanation of why you feel this company, etc. should be nominated:
If you are a winner or runner-up in any category, will you require additional trophies for your trade-show exhibit(s) or office(s)? If so, how many? (Additional fees apply: $695 for each winner trophy, $295 for each runner-up trophy.)
Yes - No
Quantity desired:
If you are a winner or runner-up in any category, will you require shipping arrangements to be made by Pipeline? (Additional fees apply; actual dollar amount varies.)
Yes - No

Shipping Information

Company Name
Contact Name ("Attn. ____")
Contact Phone
Contact Email
Shipping Address
Street:
City:
State/Province:
Postal Code:
Additional Shipping Location?
Yes - No
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