NOMINATION SLIP: AUXILLIA CHIMUSORO AWARDS 2003

All responses must reach us no later than Friday, 28 February 2003

Your name/organisation:

Your e-mail address:

Your daytime telephone number:

Nomination category (please tick appropriate box):

ٱ Organisation		ٱ Individual		ٱ Corporate

Contact name of nominee:

Organisation of nominee:

Key focus area:

E-mail address of nominee:

Contact telephone number of nominee:

Reason why this nominee deserves recognition (briefly): 

To nominate an individual/organisation/corporation for the awards, please fill out the nomination slip above, cut and paste your response to: futuresgroup@fgzapa.org.zw 

Nomination slips can be faxed to 309860, or delivered/posted to: 
Auxillia Chimusoro Awards, Futures Group, 1 Adylinn Rd/Cnr Marlborough Drive, Marlborough, Harare.