(Supported by Leeds
Sharing the Success) 		  (Supported by Leeds
Sharing the Success)
   

1. Your Information First Name: Last Name: Address: Post Code:

Telephone : E-Mail Address:

2. Who you want to Nominate

Please ensure you fill out the detail below correctly including Business Name.
(*Business name is not required if nominating for the "Service to the Community" Award.)

First Name: Last Name: Address: Postal Code:

Telephone : Business Name*: Website: http://www

3. Business Information (Choose One)
The nominated business is a:
Sole Trader Partnership Limited Company PLC

4. Description of Business
Briefly, please write about the business you want to nominate. Write about the main activities of the business.
If possible, try and include these main points: 2008-2009 Turnover, Number of Staff and Number of Locations.

5. Reasons for Nomination
Explain how your company or the company you are nominating meet the criteria for this award category?

A.) How many years has the business been running? Years

B.) Are you in any way related to the company being nominated, one of its employees or relatives? Yes No
This is used for our internal procedures and does not affect who your nomination.

6. Award Category
Please choose the award categories you would like your nominated company to be decided in (You may choose more than one):

Business Of the Year SME Business of the Year Young Entrepreneur of the Year Female Entrepreneur of the Year - Supported by Leeds Sharing the Success

Most promising New Business - Supported by Leeds Sharing the Success Going Green Best Company to work For

Service to the Community

Finally, would you like to receive our FREE (quaterly) newsletter from ABDN featuring interesting articles for our members? Yes No
ABDN is a not-for-profit organisation and will not pass your details to ANY third party.


Remember, once you have sent your nomination, it can not be altered.