2018 ENTRY FORM-Young Employee Employee Name: ………………………………………Position: Business Name: Employer’s Postal Address: details Nominator’s Name: Position: Phone: Mobile: Email: ENTRY FEE - $50 per entrant AMOUNT PAYABLE Fee $50 Dinner Ticket Entrant $85 – Extra person Dinner Tickets at $85 each………………………………$… Total $................... I enclose a cheque payable to Clarence Valley Business Excellence Awards or ◻ I have electronically transferred funds to Clarence Valley Business Excellence Awards ◻ BCU Account: 228698, BSB: 533 000. Reference Date I have read and agree to the conditions of entry as outlined in the Entry Guidelines. I agree to accept the decision of the judging panel as final. Signature: Date:
2018 ENTRY FORM-Young Employee Employee Name: ………………………………………Position: Employer’s Business Name: Postal Address: Nominator’s details Name: Position: Phone: Mobile: Email: ENTRY FEE - $50 per entrant AMOUNT PAYABLE Fee $50 Dinner Ticket – Entrant $85 Extra person Dinner Tickets at $85 each………………………………$… Total $................... ◻ I enclose a cheque payable to Clarence Valley Business Excellence Awards or ◻ I have electronically transferred funds to Clarence Valley Business Excellence Awards BCU Account: 228698, BSB: 533 000. Reference Date I have read and agree to the conditions of entry as outlined in the Entry Guidelines. I agree to accept the decision of the judging panel as final. Signature: Date:
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