Please complete the entry form below. Fields marked with a * are compulsory.
By entering the competiton the entrant agrees that the information can be used across the council. For further details, please see the Council's privacy policy.
Category* Please select... Wireless Living Award Wireless Neighbourhood Award Wireless Business Award Wireless Staff Award Title* Please select... Mr Mrs Miss Ms Dr Other... Name* Gender* Please select... Male Female Date of birth* - - (dd-mm-yyyy) If you're under 18 (or 21): I, , confirm that I am the guardian of the entrant who is under 18 or (in the case of a jurisdiction where the age of majority is 21) under 21 and I agree to the competition's terms and conditions on behalf of the entrant and where the terms and conditions provide for the entrant to consent, assign or waive do so on behalf of the entrant. On behalf of* Please select... Individual Group School Business Organisation (required if "On behalf of" is not "Individual") Address line 1* Address line 2 Address line 3 Town/district* County Postcode* Telephone* (landline or mobile) 2nd telephone (landline or mobile) Fax Title of idea* Please describe your idea* Words used: 0/600 Justify how your idea aligns with Westminer's One City Vision* Words used: 0/150 Outline the level of investment you think would be needed to develop the idea and the expected level of demand for the service* Words used: 0/150 Summarise why your entry should be the winning idea in your category* Words used: 0/100 Email* We respect your privacy and by entering your email address here, it will only be used to contact you specifically about your competition application. How did you find out about the competition?* Please select... Website Newspaper/Magazine Leaflet/Poster Radio Other (please specify...) Help us improve by giving us your comments about this project: T&Cs* Please tick to agree to the Terms & Conditions and the Council's privacy policy
