2024 MBN Awards Nomination Form

2024 Melbourne Business Network Awards

NOMINATION FORM
Please fill out details and use submit button on the last page.
This form is for nomination details including contact and business profile questions. At the end of this online form there is a button to attach your responses to the Nominations Questions relevent to your category you prepared earlier. (See the MBN website)
Your Contact Details as Nominee

Please note: Nominated group must have a representive who is a MBN member or who has paid the 2024 Awards application fee ($99).
Indicate which MBN Award you are nominating for:*

Alan Knipe Innovation AwardStart-up/New Business AwardBusiness Leadership AwardFemale Entrepreneur AwardEntrepreneur AwardYoung Entrepreneur AwardOptimism and Well-being AwardInnovative Marketing Campaign
Name of Business being nominated*
Nominees Name

First NameLast Name
Nominees Email (a copy of this form will be sent to this email address)*
example@example.com
Nominees Telephone
Mobile or Landline
NOMINATED BUSINESS DETAILS
Business Trading Name
ABN
Business names you want acknowleged on awards material (or same as above)
Upload your logo (JPEG file - less than 400 KB please)

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Business Contact Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
Phone Number
Date of Business Establishment

MonthDayYear
Date
Number of Employees (full- time or equivalent)*
Aspect of business that operates within the State of Victoria*
i.e. Head office, office, outlet, branch - location. eg. Main Office: Melbourne
ENDORSEMENT

On behalf of the nominated business I submit this entry into the 2024 MBN Awards. In doing so, I agree to comply to the MBN Awards processes; will allow business details to be promoted and used on material at the discretion of the organisers; and accept that the judging panel decision is final.
Name of Authorised Person*
Date

MonthDayYear
Date
Sign here (using your mouse)*

Clear
Please attach your response to the Judging Criteria.*

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Attach your PDF or WORD document Cancelof
The judging criteria is a series of questions relating to each particular award.
They are found when you click "Criteria and Application Form" on the Award Categories Page.
Optional upload link for other support material.

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Deadline for applications is midnight Sunday 3rd November 2024
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2024 Melbourne Business Network Awards