2017 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):*
 Materials Handling Solution Award
 Supply Chain Innovation Award
 Excellence in Safety
 Sustainability Initiative Award
 Transport Solution of the Year: Road
 Transport Solution of the Year: Rail, Sea and Air
 Outstanding Third Party Logistics Provider
 Outstanding Graduate Program
 Best Warehouse and/or Storage Solution

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

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

Please indicate how you have enhanced your 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

 www.logisticsmagazine.com.au

 Word of mouth
 Other (please specify)


TERMS & CONDITIONS

1. By submitting a nomination, you give permission for Logistics & Materials Handling 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