Rural Police Liaison Group Logo Rural Policing Liaison Group Nomination Form

Please print copies of this form, and send to the office address below

Rural Policing Liaison Group

 

Countryside Awards

Nomination Form

 

I would like to nominate:

 

Name

Organisation

 

 

 

Citation:

Please describe why your nominee should receive a Countryside Award. Continue your citation on a separate sheet of paper if necessary:

 

Citation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Details:

Name

Organisation

Contact Number

 

 

 

 

 

 

 

Please forward completed forms to:

Countryside Awards Nominations

Rural Policing Liaison Group

18 Garth Road

Mosspit

Stafford, ST17 9JD

 

Completed forms should be received no later that 1st  September

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