My Details

Name:

Company Name (if applicable):

Address:

Postcode:

Telephone Number:

Email address:

Web address (if applicable):

Nominees Details

I am nominating myself (copy My Details)

Company Name:

Address:

Postcode:

Telephone Number:

Email address:

Web address (if applicable):

Company Details (if known):

Sole Trader
Subsidiary Company
Public Company
Partnership
Private Company
Not for Profit Organisation

Year of Formation:

Number of Employees:

Turnover:

Background of your company (maximum 50 words):

I confirm that the information given above, to the best of my knowledge, is truthful and accurate. Yes No

I confirm that I have read and understand the rules of entry.
Yes No

Data Protection - The information you provide will be held on a database to allow processing of your entry.
Your details may be used to inform you of other events and services relating to the Business Awards and Awards Sponsors.

Please indicate whether you agree to receive this sort of information by post or phone:
By Archant (The awards organisers) Yes No
By our sponsors Yes No

Please indicate whether you agree to receive this sort of information by email:
By Archant (The awards organisers) Yes No
By our sponsors Yes No

Closing date for receipt of entries is 5pm Friday November 7, 2008.

All information submitted will be treated in the strictest confidence.
Receipt of all entries will be acknowledged - if you have not received acknowledgement within five working days please contact Sarah Scott on 01438 866023.