* 1. Please tick which category you are entering:

* 2. Name of group/organisation entering:

* 3. Name of entry to be used in future correspondence
(e.g. press releases, trophies, certificates etc):

* 4. Geographical location/spread of group/organisation:

* 5. Partners involved in the initiative:

* 6. Main contact name for the group/organisation (please note this will be the person who will be notified of the success of the application submitted):

* 7. Telephone number (of main contact person):

* 8. Email address (of main contact person):

* 9. Entry:
Please refer to the information detailed in the Information Pack, when completing this section.
(Maximum 1,000 words)

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