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* 1. Your Name

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* 2. What is your address (please include your postcode)?

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* 3. Telephone

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* 4. E mail

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* 5. What Awards are you nominating for?

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* 6. Please give the name of the person/group you are nominating (nominate the project if you are unsure of the persons name) and for what catagory ( you can see a list of community groups at http://www.kirknewton.org/community_groups )

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* 7. Please give reason why you think your nomination or nominations should be an award winner

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