| Writing Excellence Award Award Nomination |
| First Name of Nominated Person* |
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| Last Name of Nominated Person* |
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| Business Name of Nominated Person* |
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| Website |
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| Email Address of Nominated Person* |
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| Is this a Self Nomination? |
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| Your name (if you are nominating someone else) |
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| Nominator Email address |
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| City/Town* |
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| Australian State* |
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| Enquiry Source |
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| Award Category |
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