- Nomination Form -

* Required

YOUR Title

YOUR First Name *

YOUR Last Name *

YOUR Email Address *

Name of Business being Nominated *

Owner of Business Being Nominated *

Home Address of Business being nominated*

City *

State *

Zipcode/Postcode *

Country *

Email of person being nominated *

Phone number of person being nominated *

How did you hear about the awards? *

Is this your business? *
YES
NO

If you are nominating another business do you wish to keep your identity anonymous from the nominated business?
YES
NO

If this is not your business do you wish to pay for the entry on behalf of the nominated business?
YES
NO

Presentation of the 2012 Awards will be held at the Australian Business & Information Technology Event

Melbourne Park Function Centre, Batman Avenue.
Tuesday 7th August, visit www.abite.com.au