#CLChampions Awards

Nomination Form

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* 1. Title

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* 2. Full Name

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* 3. Telephone

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* 4. Email Address

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* 5. Home Address

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* 6. Twitter Handle (If you have one)

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* 7. Name Of Person You Are Nominating

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* 8. Award(s) Nominating For

Wackiest Fundraiser Award – Recognises the most creative or unusual fundraising ideas for Cure Leukaemia.

Community Fundraiser Award – Celebrates the kings and queens of bake sales, pub quizzes and garden parties and all vital contributions to the charity in the local community.

Young Fundraiser Of The Year Award – Recognises fundraisers under the age of 18.

‘Just One More’ Award – Recognition for the most successful fundraiser from Cure Leukaemia’s annual ‘Just One More’ campaign which takes place during blood cancer awareness month in September.

Corporate Partner Of The Year Award – Recognises the standout Corporate Partner this year, the company that has gone above and beyond for Cure Leukaemia.

Individual Of The Year – Celebrates the achievements of one individual that has undertaken an extreme challenge to raise funds.

Team Of The Year – Celebrates the success of a team or group of people who have joined together to maximise funds raised for the charity.

CL Nurses Award – Recognises the efforts of inspirational patients and their families.

Question Title

* 1. Title

Question Title

* 2. Full Name

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* 3. Telephone

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* 4. Email Address

Question Title

* 5. Home Address

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* 6. Twitter Handle (If you have one)

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* 7. Name Of Person You Are Nominating

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* 8. Award(s) Nominating For

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* 9. Why should this person win the award? (500 words Max)