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This FOCAL International Awards 2009 Submission Form should be used for the following Award category ONLY:

xvii) Award For Lifetime Achievement

SUBMISSIONS ENTRY FORM

CLOSING DATE FOR ENTRIES 1st DECEMBER 2008

Before completing, please ensure that you have read the RULES of ENTRY.

To qualify, the person named must have a minimum of 25 years service in the archive industry and is recognized in a general sense to have contributed to the promotion, good practice or understanding of the content industry. Anyone can submit the name of a person supported by a statement in no more than 200 words (below) as to why they feel the said person should be considered for this Award.

There is NO charge for entering this Award category.

NO visual material is required to support this submission.

IT IS RECOMMENDED THAT YOU PRINT OFF A COPY OF THE ENTRY FORM BEFORE COMPLETING IT ONLINE TO ENSURE THAT YOU HAVE ALL THE INFORMATION NEEDED BEFORE COMMENCING DATA ENTRY

* denotes mandatory field - if a field is not relevant, please enter an 'X'

Award Category entered: Lifetime Achievement Award
Name nominee for Lifetime Achievement Award:
First name: * Last name: *
Company name *
Address Line 1 *
Address Line 2
Town:
County:
Postcode/Zip: *
Country: *
Tel: *
Mobile:
Email: *
Reason for submission in English (up to 200 words): *

Submitter’s details:
First name: * Last name: *
Job Title:
Company: *
Address Line 1: *
Address Line 2:
Town:
County:
Postcode/Zip: *
Country: *
Tel: *
Mobile:
Email: *

 

 

 

 

 

 

 

 

 

 

 

 

 

I confirm that the Nominee named above is aware of this submission and agrees to abide by the Rules of Entry to the FOCAL International Awards.

I have read and accept the RULES of ENTRY

After submitting this form please print TWO copies of the completed application form. (ONE to send to the FOCAL International office, and ONE for your own records).

Address to send copy of Submission Form and viewing material:

FOCAL International, Pentax House, South Hill Avenue, South Harrow, Middlesex HA2 0DU, UK

For further information:

Tel: +44 (0)20 8423 5853 Fax: +44 (0)20 8933 4826

email: info@focalint.org web: www.focalint.org