Request for Entry Kit Form

Important Information

Please complete and submit the Request for Entry Kit form along with payment
Entry fee
- Price for one entry: £195 plus VAT (£234)
- Price for additional entries: £100 each plus VAT (£120)
Upon receiving the completed Request for Entry Kit Form an Entry Kit will be emailed to you. Please complete all sections of the Entry Kit and submit before 21 October 2011. If you choose to be invoiced for payment please ensure that payment reaches us by 21 October in order for your entry to be forwarded to the judges.
For any query related to your entry, please contact on +44(0)2075 588241

Currency choice

Please choose your prefered currency.

Your details (nominator)

Please provide all required field below.

Title
First name		Surname
Job title
Membership No. if applicable
Company name
Company address
Town		Postcode
Country
Mobile
Telephone number		Email

Details of entries to be submitted

Please complete all details below to enable us to send you the entry Kit and to process the entry correctly.

Name of entry

Category:

Entry kit to be sent to:

		copy from above
		First name
		Surname
		Email
		Phone

Total

£ 245.00

Total VAT (20%)

£ 49.00

Total price include VAT

£ 287.88

Add another entry

Payment

copy from above

Please enter company details as they should appear on the invoice

Title
First name		Surname
Job title
Company name
Company address
Town
Country
Postcode		Mobile
Telephone number		Email
PO Number (optional)

Please tick the box to accept Awards International terms and conditions for payment :

Data protection
By submitting a Request for Entry Kit Form we will share your information with the sponsors of this event only. If you do not wish to receive information from the sponsors of this event, please tick here

CIM Products
CIM may contact you regarding other products from its portfolio, such as events, training courses, in order to keep you informed about other services available and discounts you may be entitled to. (Tick all that apply)

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Email

Telephone

Other companies external to CIM
From time to time, we are approached by other companies who would like to inform you of relevant business and marketing information. These companies are strictly controlled and we never disclose information directly to them. (Tick all that apply)

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Email

Telephone