Monday 24th Jan, 2022

Nomination Form

    All fields marked with * must be completed

    YOUR DETAILS

    Name:*

    Email:*


    NOMINEE DETAILS

    Company:*

    Contact name:*

    Position title:

    Street address:*

    Suburb:*

    State:*

    Postcode:*

    Phone:*

    Email:*


    AWARD CATEGORIES & DETAILS

    Please select which categories you are nominating for (up to three):*
    Innovative Technology
    Dust Control Technology, Application or Practice
    Excellence in the Application of Gears, Motors and Drives
    Excellence in Transport and/or Conveying
    Environmental Project of the Year
    Best Practice in Safety
    Supplier of the Year
    Bulk Handling Facility of the Year: Resources and Infrastructure
    Bulk Handling Facility of the Year: Manufacturing and Processing

    Please write a brief overview of the business:*
    Suggested maximum 200 words

    Please supply a summary of the project, product, person or organisation:*
    Suggested maximum 300 words

    Please indicate how the company/individual has enhanced business success and overcome any challenges involved:*
    Suggested maximum 300 words

    You may attach up to three (3) supplementary files (photographs, diagrams, maps, etc.):
    Combined file size must not exceed 10MB
    1.
    2.
    3.

    How did you hear about the Mercury Awards?
    Australian Bulk Handling Review magazine

    BULK2020 e-newsletter
    www.bulkhandlingreview.com.au
    www.bulkhandlingexpo.com.au

    Word of mouth
    Other (please specify)


    TERMS & CONDITIONS

    1. By submitting a nomination, you give permission for Australian Bulk Handling Review and other publications owned by Prime Creative Media to publish information about your company and project.
    2. You also consent to Australian Bulk Handling Review and parent company Prime Creative Media collecting your information, and to receiving information on other events and publications. Your contact information will not be disclosed to any third parties.
    3. If nominating on behalf of another company or person, Australian Bulk Handling Review and Prime Creative Media relies that you have authority to act on behalf of this company or person to submit their information and consent to the terms & conditions on their behalf.
    Yes, I accept the terms & conditions

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