Nominee's Address
Nominee's Postcode
Nominee's Phone
Which District?
Mendip
Sedgemoor
South Somerset
Taunton Deane
West Somerset
A place to eat
Accommodation
Recreation
Service (for example Shop, Council Service, Leisure Facility)
Nominated by a Young Disabled Person
Please tick this box (in addition to one of the above categories) if you are under 20 years of age and please state your age
Your Address
Your Postcode
Your Phone
Your E-mail
Please rate your nominated organisation using the scale of 1 - 5.
1 being unsatisfactionary
5 being excellent
Physical accessibility
Service Provided
'Above and beyond' factor
Friendliness of staff
Please explain the reason for your nomination
Why you think this establishment deserves an Accessible Somerset 2009 Award?
FEDS
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