NEW ROSS DISTRICT
PERSON OF THE YEAR
NOMINATION FORM
How to enter:
Entry to this category is strictly paper based. Judges can only take account of the information and supporting documentation submitted with this form. N/B: Please give time and consideration to all questions to be completed. Complete and return this entry form by Friday 9th September 2016:
- By email – download form from website and email to
- By scan - and email it to
- By post to New Ross & District Chamber Offices, The Rising Tide Business Centre, No 36 South Street, New Ross, Co Wexford.
Nominations must be accompanied by relevant supporting documentation such as promotional material, testimonials, photographs, media clippings etc.If you do not receive an email confirming receipt of your nomination within 5 working days, please call New Ross & District Chamber Office at 051 425077.
Name of Individual you wish to nominate: / Click here to enter text. /Nominees Address: / Click here to enter text. /
Nominees Contact details
(phone and email address): / Click here to enter text. /
Nominated by (your name) / Click here to enter text. /
Your Contact details
(phone and email address): / Click here to enter text. /
Please explain why you feel your nominee deserves to be awarded the New Ross District Person of the Year .(50 words max.)
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Consent Form
I hereby consent, if my nominee is selected as the New Ross District Person of the Year, to the release and use of my name, business name, and photographs, which may be taken of me, and I agree that no compensation shall be due to me or my business/organisation for such usage.
I also acknowledge that whilst every care has been taken to ensure that advice and feedback given on these awards is correct, New Ross & District Chamber or the Awards sponsors will not accept any responsibility for loss, damage, etc. arising from our occasioned by the implementation of such advice.
Signature: Print Name:
______
Business/Organisation Name(if relevant):
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Address:
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Email:
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Date:
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All winners will be announced at our Gala Awards Ceremony which will be held in the
BRANDON HOUSE HOTEL, FRIDAY 7TH OCTOBER 2016
To book your tickets please contact the New Ross & District Chamber Office
on 051-425077 or email