Nomination Form

Congratulations! You have been nominated for the 2019 Vic Park Business Awards.

These Awards celebrate the amazing achievements of businesses in the Town, and the contributions they have made to the local community and economy. Award winners will be announced at the inaugural Business Awards Event which will be held on March 29, 2019.

Please complete one application form per category you have been nominated for.

 
Business details
RadDatePicker
RadDatePicker
Open the calendar popup.
Contact details
General questions
Max 150 words
Max 200 words
Max 300 words
Max 300 words
Max 300 words
Max 150 words
Category questions
Which category are you applying for? * (required)
Please select only one






Max 750 words
Type the characters you see in the image below * (Required)