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Australian Broking Awards 2012 -- Group questionnaire

Ensure you’re in the running to achieve the industry’s top accolade in the Australian Broking Awards 2012.

Nominations are now open. To nominate your business or that of a peer’s for the Australian Broking Awards please complete the following questionnaire.

All questionnaires must be completed by the 9 April 2012. Following submission a representative from Sterling Publishing will contact you for further information as part of the shortlisting process.

For further details please visit www.australianbrokingawards.com.au or call 02 9922 3300.

Question Title

* 1. Are you nominating yourself or a peer to be considered for an Australian Broking Award?

Myself

Peer

Question Title

* 2. If you are nominating a peer to be considered for an Australian Broking Award please provide the following information:

Nominator's Name:

Nominator's Company:

Nominator's Phone number:

Nominator's Email:

Question Title

* 3. Please indicate which group awards you would like to nominate your business/ a peer's business for:

Best IT Platform

Best Web Presence

Best Training and Education

Best Marketing

Best Diversification Program

Best Innovator

Best Ethical/ Social Responsibility Program

Aggregator of the Year

Boutique Aggregator of the Year

Boutique Brokerage of the Year – Under 10 Brokers/ Writers

Major Brokerage of the Year (Non-franchise) – Over 11 Brokers/ Writers

Franchise Brokerage of the Year

Question Title

* 4. Please provide the following demographic information

Business name:

Branch/ specific location:

CEO/MD of business:

Name of person completing questionnaire:

Title:

Phone number:

Email address: