Business of the Month Nomination

Nomination Form

The Shop Pike Road Business of the Month Award, recognizes small businesses in our community. Residents and others can nominate, vote and recognize a Pike Road small business each month.

Complete the nomination form below:

Business of the Month Nomination Form

Name of Business:

Reason(s) to recognize this business:

Contact Information of Person Nominating the Business

The information will only be used if Shop Pike Road has any questions about the nominated business.

First Name:

Last Name:

Email Address:

Phone Number:

Nomination Eligibility Requirements

To nominate a business, complete an nomination form with the business names, reason for nominating, your name, email, and phone number and submit it online.
The business must be located within the Town of Pike Road,
Only the top 5 businesses receiving the most nominations each month will move forward for voting.
By nominating a business, you agree for Shop Pike Road to reach out with any questions about your nomination and to stay in touch with you. We will be sure to reach out to you through email first.

Checkboxes

I agree to the Nomination Eligibility Requirements.

If you are human, leave this field blank.

Nomination Form

Contact Information of Person Nominating the Business

Sign In

Register

Reset Password