Entry Form

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Submit this application along with the material on the Submission Criteria form.

Name of Company: _________________________________________________

Owner's name: _____________________________________________________

Contact Person's Name: ______________________________________________

Company Address: __________________________________________________

_________________________________________________________________

Company Telephone: ________________________________

Company Fax: _____________________________________

Company Web Site Address: ___________________________________________

Company Size:

Number of employees: _______________________

Company's type of business: ____________________________________________

Statement: We understand that the judges may request a site visit. We agree to host the visit and to facilitate an open and unbiased examination. We also understand that by signing this application, we certify our compliance with federal, state and local laws and regulations governing our business or industry.

Authorizing Official (Print Name): ________________________________________

Signature: ____________________________________________ Date: _________

Finalists will be notified of a site visit by the judges prior to the selection of the winners.

Please send entries and supporting materials to:

Better Business Bureau® of the Texas Panhandle
Torch Awards Entry Committee
720 South Tyler, Suite B112
Amarillo, Texas 79101