New Hampshire 200 Participant Form

Congratulations on being named to the New Hampshire 200, The Most Influential Business Leaders in New Hampshire.

Please take a moment to fill out the questions below. Please do not use any emojis in your responses or it will yield an error message. To ensure a proper submission and prevent any frustration, we encourage you to download the Word doc form file, fill it out and save a copy for your records.

The submitted information will then be used to create your profile in the print edition, which will be available to subscribers in December. In addition to the print publication, on Thursday, December 9, 2021, we will celebrate the New Hampshire 200 at a networking reception held from 5:30 to 8 p.m. at the DoubleTree by Hilton Manchester, NH Downtown. Event attendees will receive a complimentary copy of the New Hampshire 200. Tickets to this event are available for purchase here. Forms are due ASAP, so please submit your information as soon as you are able to.

If you have any questions about New Hampshire 200, then please contact Editor Jeff Feingold at jfeingold@nhbr.com
If you have questions about the New Hampshire 200 event in December or need help purchasing tickets, then please contact Events and Marketing Manager Emily Samatis at events@mcleancommunications.com
If you have any questions or trouble with the form, then please contact Digital Operations and Marketing Manager Morgen Connor at mconnor@mcleancommunications.com

Name*

First Last

Nickname (if applicable)

Company*

Title*

Your Email*

Please note that this field will not be published in print; it is for internal purposes only.

Your phone number*

Please note that this field will not be published in print, it is for internal purposes only.

Mailing Address*

Please note that this field will not be published in print; it is for internal purposes only.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What educational degrees do you hold and where were they earned?

Tell us about your career history (past jobs, accomplishments)*

Please limit to about 100 words.