New Zealand Exercise Industry Awards
2017 Nomination Form


This form is used to nominate a person or facility for an Exercise Industry Award for information on the categories that are availaible for nomination click here. Nominations can either be anonymous (so your name is not shared) or public where the nominee is advised you nominated them.

Who are you nominating? (this can be a person or an organisation)
Which Category are you nominating them for?
Please complete the section below with contact details for the nominated person/organisation.
Note: As a minimum, an email address is required.
Phone number of the person / organisation you are nominating:
Their email address:
Their Facebook page:
So we can let them know why they are being nominated, please supply as much information as possible.
Why you think they should win:
 
Your details:
Your relationship to the person or organisation (e.g. Member / Customer / Colleague / Employer):
Your name:
Email address:
Please select one of the following two options. Please note - your relationship to the entrant may be disclosed for example "One of your colleagues" or "One of your members/customers".
 I would like comments passed on but not my name
 I would like my name and comments passed on