Information About You

Company Affiliation (Select One)

---Executive/OwnerEmployeeOther

Information About the Nominee

Place of Business NationalCaliforniaOrange County

1. Number of Technology programs implemented in the company (last two years).

2. Nature and usage of the product/program.

3. Incentive given to employees/customers for utilizing the Techonology.

4. Savings derived from utilization of the Product/Service.

5. Recognition received for the Technology Product/Service.

6. Certification acquired for the Technology program.

7. Percentage increase in business due to Product/Service.

ANTI-SPAM: What is thirteen minus 7? (Give the answer as a number)*