Pride of Northumberland Award Nomination Form
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Email *
Who would you like to nominate?
Nominee's Address (if known)
Nominee's telephone number *
What has your nominee achieved to be nominated for this award?
Proposers Name *
Relationship to Nominee
Proposer contact details *
Contact number or email address
By completing this form you may be contacted by Northumberland Labour news in the future do you wish to be contacted? *
Anything else you want to tell the panel? 
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