The Healthy-Living Innovation Award
– Boxes marked with an asterisk (*) are required fields and must be completed to submit the entry
– ALL text boxes must be completed. If a certain requirement is not applicable, please indicate “N/A” in the respective box.
– Only links to the entrant’s own website will be counted. No third party web links are permitted.
– Attachments may be sent by clicking the “Select Files” button at the end of this form.
– Maximum combined size of all attached files: 8mb per nomination.
Upon successful completion of an entry form you will receive an electronic acknowledgement of receipt. If you do NOT receive this acknowledgment it may mean we have not received your entry. In this case, please visit the Contact page to contact us by email or phone.