I am a ......................... *


 
Name of Station: *

 
Link to a show from the station:

 
What region are you based? *


 
Your Name: *

 
Your position/role at the station:

 
Why do you deserve to win? (150 words)

 
Describe your station in a tweet (140 characters)

 
Name of Station you wish to nominate: *

 
Link to a show from the station:

 
What region is the station based? *


 
Your Name:

 
Do you agree to the Terms & Conditions? *

     
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