WOMEN OF WYNDHAM

WOW Recognition Awards – Junior WOW Champion

WOW Recognition Awards – Junior WOW Champion Nomination Form

How to nominate

Any member may submit a maximum of two nominations. Each nomination must be submitted on a separate form online. Incomplete forms may be considered ineligible for assessment.

Applications close

9 PM 12th July 2019.

Nominee details
Name *
Name
Nominee’s postal address:
Nominee’s postal address:
Nominee’s phone number: *
Nominee’s phone number:
Reason/s for nomination with example/evidence
Nominated by
Name *
Name
Address:
Address:
Mobile:
Mobile:
I hereby agree by the rules and regulation as stipulated by Miss and Mrs WOW walk for a cause runway organizers and I understand that I will be disqualified if any of the above information given is found to be incorrect. Together with this application form, I include my own photograph which the organizer may use for advertising and promotional purposes. I hereby, declare that. I have no objection for the release of my photographs/films etc. in any media of this runway. If I am selected for the finals, I will fulfil all the formalities as per the requirements of the organizer. *
References – who can verify the nominee’s contribution.
Referee 1:
Name:
Name:
Address
Address
Phone
Phone
Referee 2:
Name:
Name:
Address:
Address:
Phone:
Phone: