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Nomination Form

Nominations are now closed for 2008 please click here for the results.

ENTRY REQUIREMENTS:

All information is completely confidential and details of any testimonial remain confidential unless specific permission is sought in writing.

Any project/implementation being submitted must have been completed by the date shown in the category description. Pictures supplied can be of an individual at the installation, the installation itself or a general photo of the organisation's premises.


Nominations may be completed online (below). Please contact Paul Trowbridge at Paul.trowbridge@evito.net

An entry fee of £75 per nomination +VAT (17.5%) = £88.13 (TOTAL) will be charged by credit card.

This fee of £75 will be donated to our assigned charity - the Barts and The London Charity

Charity Commission Registration Number : 212563

To view general nominations instructions click here!

ONLINE NOMINATION:

Your Details:

Name:  
Job Title:  
Company:  
Address*  
   
Town/ZIP Code*  
County:  
UK Postcode ONLY  
Country*  
Phone:  
Fax:  
Email:  
Company Website:  
 


Your Nomination:

Organisation to be nominated:




Contact Person:




Select a category for this nomination from below:



 
Create a title for this nomination (e.g.: “X project at Y company”):





Please complete nominee details below:

Job Title:  
Company:  
Address:  
Phone:  
Fax:  
Email:  
Company Website:  
   
Nominated project description (min 400 - max 600 words):

 

Give reasons why this entry should win an award:



 

Testimonial/Reference *
If possible
please provide a reference or testimonial from someone associated with the project (this may help your entry but is not essential, as we understand companies have confidentiality clauses)
*Not essential

Endorsement 1: (Please upload a file, do not enter text.)
Endorsement 2: (Please upload a file, do not enter text.)
   
OPTIONAL
Please upload a picture of the product and/or person nominated:
 

 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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