| Direct Marketing and Party Planning |
| First Name of Nominated Person* |
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| Last Name of Nominated Person* |
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| Email address of Nominated Person* |
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| Web site |
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| Business Name* |
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| Is this a Self Nomination? |
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| Nominator (if not nominating yourself) |
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| Nominator Email address* |
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| City/Town* |
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| Australian State* |
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| Award Category |
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