Please tick as appropriate: Entry    Nomination

Details of person completing this form

Full name Address Postcode Telephone E-mail

Categories to be considered Please tick the categories you/the company wishes to be considered for. All entries will automatically be considered for the Business of the Year Award. You do not need to complete a separate form for each category entered.

The Dutton Gregory LLP Solicitors Business of the Year Award  The Soundbite Production Award for Business Excellence Through Technology  The Coast Award for Excellence Online  The University of Winchester Entrepreneur of the Year Award  The Winchester City Council Award for Green Innovation  The Hampshire County Council Rural Business of the Year Award  The Mawson & Co Award for Service Excellence  The Winchester BID Member of the Year Award

Your entry or nomination

Title Forename Surname Company Position Address Postcode Telephone Fax E-mail No. of employees Estimated turnover 2007/08 (optional)

Support for your nomination Please describe (in 200 minimum and 500 words maximum) why the organisation should win this award category. Note: Applicants should refer to the 2011 Award Criteria at www.winbiz.org.uk before completing this section. If you have any queries regarding this entry form, please contact the Awards office on 01962 841000.

Entry forms must reach the organisers no later than Friday 4th March 2011