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Nomination Form
Thank you for your interest in LADIES IN THE VAN. We'd love to know a bit more about you or the person you're nominating...
As soon as we have delivered 'Ladies in the Van' to you or your nominee, this form will be deleted.
* Indicates required question
Your name
*
Your answer
Your email address
Your answer
Your telephone number
*
Your answer
Name and contact details of your nominee (optional)
Your answer
Yours or your nominee's postcode
Your answer
Preferred performance slot/s (if known)
Pick as many slots as you like and we'll be in touch to confirm a time.
4:00 pm
5:00 pm
6:00 pm
7:00 pm
8:00 pm
Wednesday Xth
Thursday Xth
Friday Xth
Saturday Xth
4:00 pm
5:00 pm
6:00 pm
7:00 pm
8:00 pm
Wednesday Xth
Thursday Xth
Friday Xth
Saturday Xth
Why do you feel you or the person you're nominating deserves this performance?
Your answer
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