NOMINATION FORM – FOOD SAFETY EQUIPMENT & MATERIALS

All fields marked with * must be completed

YOUR DETAILS

Name:*

Email:*


NOMINEE DETAILS

Company:*

Product:*

Contact name:*

Position title:

Street address:*

Suburb:*

State:*

Postcode:*

Phone:*

Email:*


AWARD DETAILS

Please write a brief overview of the business:*
Suggested maximum 200 words

Please write a brief description of the product:*
Suggested maximum 300 words

Please explain the product's innovative features:*
Suggested maximum 300 words

Please describe how your product differs to other solutions available:*
Suggested maximum 300 words

Please explain the product design as well as materials used:*
Suggested maximum 300 words

You may attach up to three (3) supplementary files (photographs, diagrams, maps, etc.):
Combined file size must not exceed 10MB
1.
2.
3.

How did you hear about the Food & Beverage Industry Awards?
 Food & Beverage Industry News magazine

 www.foodmag.com.au

 Word of mouth
 Other (please specify)


TERMS & CONDITIONS

1. By submitting a nomination, you give permission for Food & Beverage Industry News to publish information about your company and project.
2. You also consent to Food & Beverage Industry News and parent company Prime Creative Media collecting your information, and to receiving information on other events and publications. Your contact information will not be disclosed to any third parties.
3. If nominating on behalf of another company or person, Food & Beverage Industry News and Prime Creative Media relies that you have authority to act on behalf of this company or person to submit their information and consent to the terms & conditions on their behalf.
 Yes, I accept the terms & conditions