Name of Business
Contact Person/Title
Street Address
City/State/Zip
Phone(H)

Phone(W)

District:

The nominated property most meet the following criteria:

The property is litter free
Outside trash and cigarette receptacles are present
The business must participate in some sort of recycling program for their employees or the refuse/byproducts of their business
The property manager gives permission to participate in the program
The property has not previously won this award
The property is within Henrico County limits
I will email picture of the property (email address will be given on next screen)
Please place a check mark denoting that the nominated property meets all of the above criteria

Person nominating property:

Full name (Mr./Mrs./Ms
Street Address

City/State/Zip

Phone(H)
Phone(W)