Nominee Information

If you are one of this year's Best of Southwest Iowa Nominees we ask that you please fill out the following form so we can notify you early if you won!
List All Nominated Sub-Categories(Required)
For example, if you are nominated for 'Best Ag Equipment Sales' you would write that in here. If you are nominated in more than one sub-category, click the plus button until you have listed all of your nominated categories.

Contact Information

Name(Required)
Email Address(Required)
Shipping Address(Required)
This is where your certificate will be sent if you win.

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