RMOTY - Nomination Form

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Real Mum of the Year Nomination Form

This is the official nomination form for the Real Mum of the Year. Please ensure you have fully read and understood the eligibility criteria and Terms & Conditions before submitting the form.

Please complete this form online and submit it, or print it off and send it to:

Real Mums - Real Mum of the Year Award
PO Box 1060
Moonee Ponds VIC 3039

We recommend you save a copy before submitting!

Tips for completing the Form:

"Your Details" - these are the details of the person completing the form. If you are nominating yourself you still need to complete these details;
"Who are you nominating" - these are the details of the 'nominee' or person you think should receive the award. If you are nominating yourself you need to complete these details;
"Tip" or "Advice" could be a mantra, or something you/your nominee has said to you - in relation to parenting!;
3-5 reasons your nominee should receive this Award - please keep it funny - stories of things that have happened and made you laugh / feel like a "bad mum" / cry, but made others laugh when you retold the incident ...
Please Do Not submit forms telling usyour nominee is "the best mum in the world" and "my mum was always there for us" - We Already Know (and it's not funny)
"Referee" - this is the name and contact details of a person who can verify your nomination, back up the stories and confirm the nomination is legitimate ...
Save a copy before you hit submit

Please ensure you have complete all details correctly AND that your submission complies with the Eligibiity Criteria and Terms & Conditions. Thanks! We look forward to receiving your form.

Real Mum of the Year Nomination Form

***YOUR DETAILS***

First Name

Last Name

Street Address

Suburb

State

Post Code

Phone Number (Home)

Mobile

***WHO ARE YOU NOMINATING?***

First Name

Last Name

Street Address

Suburb

State

Post Code

Phone Number (Home)

Mobile

Number of Children

Ages of Children

T-Shirt Sizes

6810121416

What real tip or piece of advice would You/Your Nominee give to other mums? 100 characters or less.

Please provide 3-5 examples of why you consider Yourself or Your Nominee to be a Real Mum? Please keep your answers to a maximum of 500 characters each *

Answer 2

Answer 3

Answer 4

Answer 5

If submitting online, please attach a photo of You or Your Nominee, in JPG or GIF format, keeping the file size

below 400K. If sending this form via Snail Mail, please attach a standard 4x6 photograph.

Upload File

***WHO CAN VERIFY THIS NOMINATION?***

Referee's First Name:

Referee's Last Name:

Street Address:

Suburb:

State:

Postcode:

Phone (Home - inc area code):

Phone (work - inc area code):

Mobile:

E-mail:

Relationship to Nominee:

How did you hear about the Award:

Would you be ok, if required, to be contacted by the media prior to or after “The Real Mum of the Year”Awards?

Yes, that is fine.

I have read the T&Cs

Enter the code shown above in the box below

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