	Required Field
	Select the area where you live:
	Nominated Group or Organisation:
	Specific project nominated for (if applicable)
	Contact Person:
	Postal Address:
	Email Address (if known):
	Daytime Phone:
	Evening Phone:

	Nominated by:
	Postal Address:
	Email Address (if known):
	Daytime Phone:
	Evening Phone:
	How did you hear about the Trustpower Community Awards?
		Received letter about the Awards Radio Advertising Newspaper Advertising Story in media - newspaper/radio Posters Council newsletters Text Message Other: