Customer Experience Week Awards 2017 Submission Form: Best Overall Customer Experience Organisation

Please read the following before continuing the submission:

In the event my organisation becomes a finalist or the winner of a 10th Customer Experience Week Award, I consent to my organisation’s name being used in promotion for the awards program either by IQPC directly or by a third party member of the media cover the awards program and/or awards ceremony.

I further understand my organisation’s name may appear in print or on either/both the 10th Customer Experience Week website and/or by a third party member’s website for the purposes of promotion.

For enquiries please email CEMawards@iqpc.com.au

Question Title

* 1. If you agree with these conditions, please enter the details below (Please note that submissions will not be considered unless these fields are completed)

Authorised by:

Date:

Name of Contact Person:

Job Title:

Organisation:

Phone Number:

Email Address:

PR Contact (for promotion of awards winners):

Phone Number for PR Contact: