Malcolm Eidmans Award – Nomination Form

    Details of person being nominated for award

    Name

    Job title

    Pubwatch Role

    Full address (including

    post code)

    Telephone number

    Mobile number

    Email address

    Person nominating contact details

    Name

    Job title/role

    Full address (including

    post code)

    Telephone number

    Mobile number

    Email address

    Brief summary of why nominee deserves to be honoured by National Pubwatch (max 400 words)

    Specific details of what nominee has achieved (max 400 words)

    Please provide details of persons who support this nominations (if applicable)

    1.Name

    Job title/role

    Daytime contact details

    Quote

     

     

    2.Name

    Job title/role

    Day time contact details

    Quote

     

     

    3.Name

    Job title/role

    Daytime contact details

    Quote