Life Sciences BC Awards presented by FARRIS Nomination Form

Which award would you like to nominate for?

Name of company/individual you wish to nominate

Nominee contact name
Nominee contact title & organization

Nominee contact email address
Nominee Contact phone number

Please outline the reason for this nomination. Your statement must not exceed 500 words.

Nominator contact name
Nominator business title & organisation

Nominator contact email address
Nominator phone number