2023 Fastest Growing Companies Application

Company Name*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone*
Company Fax
Top Executive's Full Name*
First Last
Top Executive Title*
Top Executive Email*
Number of Full-Time Employees*
Year Founded*
Company Headquarters County*
Company Description*
Name of Contact Person*
First Last
Contact Title
Contact Company*
Contact Email
Contact Phone Number*
Name of Person Completing This Form*
First Last
Company*
Number*
Email*
Name of person responsible for financial documents*
First Last
Application*
Price:
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
For a nomination to be considered complete, you must send a compiled, reviewed or audited financial statement or a tax return for the years 2020, 2021 and 2022. In addition, you must sign and upload the waiver on the second page of the application form found here. If you do not have your 2022 Financials’ please forward to Tracy as soon as they become available to you.

Please send the financial documents to:
SEK CPAs and Advisors
Attn: Tracy Stewart
4660 Trindle Road, Suite 204
Camp Hill, PA 17011
or Email to [email protected]
Attach Signed Waiver*
Max. file size: 15 MB.
Attach company photo*
Max. file size: 15 MB.
Name
This field is for validation purposes and should be left unchanged.

2023 Fastest Growing Companies Application

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