Page 26 - The AIBs 2013 | entry booklet
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#
Original transmission
or online release date
Organisation
Your name
Job title
Address
Town/City
Post/Zip Code
Country
Telephone
Your e-mail
Live journalism
Investigative documentary
Current affairs documentary
Creative feature
Radio personality of the year
Entry form -
radio
Entry title
Transmission date
#
dd
/
mm
/
yyyy
Language
I am enclosing 3 x CDs with this form
I am enclosing my entry fee of £105.00
(£87.50 plus UK VAT at 20%)
payable to “AIB” drawn on a UK bank
Please charge the credit card shown below with £105.00
(£87.50 plus UK VAT at 20%)
Please send me an invoice for my entry fee of £105.00
(£87.50 plus UK VAT at 20%)
I am enclosing my entry fee of £60.00
(£50.00 plus UK VAT at 20%)
payable to “AIB” drawn on a UK bank
Please charge the credit card shown below with £60.00
(£50.00 plus UK VAT at 20%)
Please send me an invoice for my entry fee of £60.00
(£50.00 plus UK VAT at 20%)
Signature of entrant
Cardholder’s name
Expiry date
Cardholder’s signature
Credit card billing address
Post/Zip code
Country
Cardholder’s e-mail
(for confirmation)
This form and accompanying media and documentation must be submitted
by 1600 GMT on 5 July 2013
to:
The AIBs 2013, Association for International Broadcasting, Room G210, Little Sandrock, Cranbrook Road, Hawkhurst, CRANBROOK, TN18 4BD, United Kingdom
card number
*the last three digits on the signature strip on Diners, Mastercard and Visa cards, and the four digits printed above the card number on American Express.
security number*
Radio Award
Category
please tick
the box
Non-member
AIB members
One entry form must be completed for each entry. One entry fee payable for each entry.
USE BLOCK CAPITALS ON THIS FORM
