Tuesday 20th Aug, 2019

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