RoSPA Awards : Nominated Person

Award winning organisations are required to provide details of the person nominated to receive their organisation’s award.

Awards Reference No.:
Organisation:
Result:

Your Details:
Name:
Email:
Telephone:

Nominated Person (Full Name):
Title:
First Name:
Last Name:
Job Title:

Data Protection:	Your personal information will be used solely for the purpose of this form. However, from time to time we may email you about our services that we may feel will be of interest to you. If you would prefer not to receive this information please tick this box.

RoSPA is a registered charity: Registered Charity No: 207823
Patron: Her Majesty the Queen

RoSPA Head Office: Edgbaston Park, 353 Bristol Road, Edgbaston, Birmingham B5 7ST, UK
Telephone: 0121 248 2000 Fax: 0121 248 2001 Email: help@rospa.com