Nomination Form

To nominate an individual / business for one of the categories please complete this form by the closing date, Friday 30 April 2010.

About you
*Your Name:**
*Title (Mr/Mrs etc.):**
*Address 1:**
Address 2:
*Town/City:**
*County:**
*Postcode:**
Email:
*Telephone:**
Your nomination
I wish to nominate : (individual/Business)*
Category you wish to nominate them for*:	Best use of regional produce on a menu Best new food or drink venture started in 2009/2010 Best local food producer Best local drink producer
*Address 1:**
Address 2:
*Town/City:**
*County:**
*Postcode:**
Email:
*Telephone:**
Website:
Reason for Nomination: (Not more than 250 words)

* denotes a required field.

About you