2025 Gala Awards Nomination Form

About You (Nominator) - Collect information on the person submitting the nomination.

Company / Organization *

Full Name *

Title / Role *

Email *

Phone Number *

Website or LinkedIn *

Are you a member of the FACC Florida? *

Yes

No

If you are not yet a FACC Florida member, would you agree to be contacted by our team to learn more about our membership options?

Yes, please

No, thank you

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