Congleton High Street Awards Nomination Form
Please fill out this form to nominate for an award.
1. Your Information (Nominator)
Your Name
*
First Name
Last Name
Your E-mail Address
*
Your Phone Number
*
2. Business You Are Nominating
Note: Please ensure that you have the business owners permission to share their details.
Business Name
*
Business Owner / Manager's Name
*
First Name
Last Name
Nominee's Business Phone Number
*
Nominee's Business E-mail Address
*
Nominee's Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long has the business been operating in Congleton?
*
Evidence of Start Date in Congleton (attach files, photographs or links)
*
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e.g. website information, articles, historical advert, business registration date
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Why does this business deserve recognition?
*
Tell us briefly why you are nominating this business, e.g. excellent customer service, community involvement, longevity etc...
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3. Consent
Signature
*
Date
*
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Day
-
Month
Year
Date
Send Nomination
Send Nomination
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