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Nominated business / service provider / facility
 

Nominee's Address

 

Nominee's Postcode

 

Nominee's Phone

 

 

 

Which District?

 

Mendip

Sedgemoor

South Somerset

Taunton Deane

West Somerset

 
     
Which category does this nomination fall into?
 

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 Name
 

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?

 
Thank you for your time.
Please click here to send.