Details of the event and organiser or organisation being nominated

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* 1. Name

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* 2. Event/Organisation Name

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* 3. Phone

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* 4. Address

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* 5. Has the nominee agreed to be nominated for this award?

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* 6. Contribution to the community for which the event/organisation is nominated.

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* 7. Please attach additional supporting material, including references and media (newspaper clippings) if applicable.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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Other persons to contact for further information about nominee

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* 8. Name

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* 9. Address

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* 10. Phone

Details about person submitting nomination

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* 11. Name

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* 12. Address

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* 13. Phone

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* 14. Please use this checklist to ensure that your nomination is complete.

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