NOMINATION FORM

All fields marked with * must be completed

YOUR DETAILS

Name:*

Email:*

NOMINEE DETAILS

Company:*

Contact name:*

Position title:

Street address:*

Suburb:*

State:*

Postcode:*

Phone:*

Email:*

AWARD CATEGORIES & DETAILS

Please select which categories you are nominating for (up to three):*
Supply Chain Innovator of the Year
Safety Advocate of the Year
Best Technology Application
Sustainability Initiative Award
Transport Solution of the Year: Road
Transport Solution of the Year: Rail
Transport Solution of the Year: Air
Transport Solution of the Year: Sea
Outstanding Graduate Program
Best Storage Solution
Best Infrastructure Innovation
Victorian Government 'Contribution to Industry' Award

Please write a brief overview of the business:*
Suggested maximum 200 words

Please supply a summary of the project, product, person or organisation:*
Suggested maximum 300 words

Please indicate how the company/individual has enhanced business success and overcome any challenges involved:*
Suggested maximum 300 words

You may attach up to three (3) supplementary files (photographs, diagrams, maps, etc.):
Combined file size must not exceed 10MB
1.
2.
3.

How did you hear about the Mercury Awards?
Logistics & Materials Handling magazine

MEGATRANS2018 e-newsletter
www.logisticsmagazine.com.au
www.megatrans2018.com.au

Word of mouth
Other (please specify)

TERMS & CONDITIONS

1. By submitting a nomination, you give permission for Logistics & Materials Handling and other publications owned by Prime Creative Media to publish information about your company and project.
2. You also consent to Logistics & Materials Handling and parent company Prime Creative Media collecting your information, and to receiving information on other events and publications. Your contact information will not be disclosed to any third parties.
3. If nominating on behalf of another company or person, Logistics & Materials Handling and Prime Creative Media relies that you have authority to act on behalf of this company or person to submit their information and consent to the terms & conditions on their behalf.
Yes, I accept the terms & conditions