ENTRY FORM

TUESDAY 10TH NOVEMBER 2009

Lord's Cricket Ground, LONDON

Please complete this form on or before Tuesday 22nd September 2009

If you have any queries please call the Rushmans team on +44 (0) 1264 852 016.

Award Category:

Nominee Details:

Nominator Details (if different to the details above):

Name of Event:

Date of Event:

Event Owner/Organising Committee:

Outline company’s/nominee’s involvement (no more than 500 words):

In 500 words write why you feel you/your organisation/the nominee should win the
award: