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Nominate:

If you would like further information or wish to nominate someone, please complete the following form.  Please include your email address as we we will email you a link to to download the entry form.

Name:
Organisation:
Address:
Post Code:
Phone:
Fax:
website:
email:
(we will send the link to the entry forms to this email address)
Please send me an entry form for the following categories:
Management Achievement
Small Business Owner
Woman in Science and Technology
Woman in the Community
Woman in Arts and Media
Woman in Construction and the Built Environment
Most Effective Returner to the Workplace
Woman in Innovation
Young Enterprise Wales - Young Achiever
Woman Advancing Democracy

Third Party
If you are nominating a third party, please complete their details here:

Name:
Organisation:
Address
Post Code:
Phone:
Media Wales will use your information for administration and analysis. We may share your information with other Trinity Mirror group Companies or carefully selected third parties. We or they, may send you details of other goods and services which may be of interest to you. The information may be provided by letter, telephone or other reasonable means of communication. If you do not want your details to be shared with carefully selected third parties, please tick this box: 

 
 
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