Nation Radio London

Your Name *

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Telephone *

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Name of Nominee *

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Nominee Contact Number *

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Relation to Nominee

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Which category are you nominating for? *

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Young Fundraiser Of The Year

Fundraiser Of The Year

Outstanding Bravery

Child Of Courage

Mum Of The Year

Dad Of The Year

Carer Of The Year

Contribution To Public Service

Contribution To The Community

Teacher Of The Year

Please tell us why they deserve this award. (The more information the better - the judges may not have heard about their achievements) *

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