ICE East Midlands Merit Awards 2016
Expression of interest form
Please complete and return no later than Friday 22nd January 2016 to:
Institution of Civil Engineers, East Midlands Regional Office,
or
E: ice.eastmidlands@ice.org.uk
T: 0115 823 2655
Project, study, research paper or team activity title:
Contact name:
Contact address:
Contact telephone:
Contact e-mail:
I confirm my intention to submit an entry in the following category (please tick one box as appropriate):
NB: only one category to be selected per submission
Small projects category (up to £750,000)
Medium projects category (£750,000-£10million)
Large projects category (greater than £10million)
Studies & Research category
Team Achievement category
☐
☐
☐
☐
☐
Please tick here if you intend to reserve a table of 10 for your organisation at the ICE East Midlands
Annual Gala Dinner and Awards. A discount will apply on the first table booked for each award entrant.
☐ Yes
☐ No
Please note that in a change to previous years, we have introduced an entry fee of £100 + VAT to cover
administration costs and will be payable at time of final entry submission.
Signature:
Registered charity number 210252
Charity registered in Scotland number SC038629