Nominate a Great Alliance Owner
1.
Please enter your information below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com

2.

Are you an Alliance customer?
Yes
No
3.

Your Nominee's First and Last Name
 

50 characters left.
4.

Is the person you're nominating an Alliance customer?
Yes
No
Not sure
5.

What makes your nominee special? Tell us about their unique hobbies, talents, or passions.
 

1000 characters left.
Winning nominations are only open to Alliance customers. To be eligible for nominating prizes, you must be an Alliance customer. Everyone who nominates one candidate will receive a $10 credit on his or her April 1 bill. If we select your nominee, you'll receive a $250 Visa Gift Card, and your nominee also will receive a $250 Visa Gift Card. One prize per owner.