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* 1. I would like to nominate:

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* 2. Who are you nominating?

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* 3. Tell us why they have been important for the women’s movement over the past 25 years (200 words max)

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* 4. Your name:

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* 5. Your contact details (Just your preferred method of us contacting you is fine - we just might need to get in contact if we can't get hold of your nominee):

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