The Henry Pike Memorial Trophy

2023 Nomination Form

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* Nomination Details

Full Name

Email Address

Phone Number

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* Is the above nominee a member of STA?

Yes

Don't Know

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* Your Details

Full Name

Email Address

Phone Number

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* In no more than 300 words, please provide the fullest possible details of all work, efforts and contributions carried out by the person you are nominating, in relation to their outstanding contribution to STA over the last 12 months.

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* Upload any supporting documents / images here

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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Please click the 'Submit Nomination' button below to submit your nomination.

Following a successful nomination, STA will notify yourself with further details.