Wednesday, 08 February 2012

Love Barrow Community Awards 2009 Nomination Form

It is important to complete the nomination form as fully as possible in order to assist the shortlisting process. All nominations will be judged on their own merit. If you need any help or advice filling in this form please contact:
Sheila Atkinson
Tel: 01229 840134 E-mail: sheila.atkinson@nwemail.co.uk

Category*









Details of the person you wish to nominate

Full name*

Age (if known)

Title*

Group Name (if applicable)

Address*

Nominee’s contact tel. number*

If under 18 please provide name, address and a contact number for a parent or guardian

Name*

Address*

Contact telephone number*

Your details:

Name*

Address*

Telephone*

Do you wish to remain anonymous?*



Why are you nominating this person or group?

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