European Smokefree Supporter Award 2009

This award is for people to nominate a health professional to become the European Smokefree Supporter 2009 in recognition of their work in helping smokers to stop. QUIT® are looking for a health professional or team who has gone that extra mile to help people quit smoking.

Prizes

The winners from each participating country will be presented with a prestigious award and the overall European winner will be invited to the award ceremony in Spain in February 2010.

Deadline Dates

Deadline for entries is December 31st 2009.

Section 1

Contact details

Title:

First Name(s): Surname:

Address:

Post Code:

Daytime tel no: Evening tel no:

Mobile: Email:

Please supply the contact details of the person/team (main contact) you are nominating:

Title:

First Name(s): Surname:

Work Address:

Post Code: Daytime tel no:

Evening tel no: Mobile:

Email: Job Title:

How do you know the person you are nominating ?

How did you hear about the European Stop Smoking Supporter Award 2009?

*please give details

National Newspaper* Television coverage* Local press*

Health Professional* Local radio* Globalink
Other*

Section 2

Important information

In order to qualify for the European Smokefree Supporter of the Year Award 2009 the nominee/s must be working within the UK. QUIT will contact you and the nominee/s if the nominee/s reaches the finals. Nominee/s must be happy to take part in publicity. Entry implies acceptance of these rules.

In no more than 500 words, say why you think they deserve to be nominated European Smokefree Supporter of the Year 2009? The selection panel will be looking for examples of, professionalism, innovation and dedication that make this individual or team stand out.

To my knowledge all information supplied here is correct and I agree to comply with the rules of the competition laid out below

Name: Date:

RULES OF ENTRY

Nominees must have stopped smoking on or after January 1, 2008 and must have been smoke free for six months before entering. The deadline for entries is December 31, 2009. Entries must include a recent photograph. Nominees must be aged 18 or over and a UK resident. Entrants from the 2008 Awards (excluding individual country winners) may enter if they meet the above criteria. No liability will be accepted for lost, damaged or delayed entries. Proof of posting cannot be accepted as proof of delivery. No cash prize available. Final choice of the awards is at the Selection Panel’s discretion. The Selection Panel’s decision is final. No correspondence will be entered into. Entrants must be prepared to co-operate in any media coverage. Entrants must agree to the use of their name and photograph in any materials produced by QUIT and/or the European Network of Quitlines and/or Pfizer in relation to the awards. All nominees must consent to QUIT contacting their doctor and agree to take part in a saliva test to confirm they are an ex-smoker. The contest is not open to employees and families of QUIT, Pfizer or anyone connected with the organisation of the competition. ENTRY IMPLIES ACCEPTANCE OF THESE RULES.

Details of winners will be available in February 2010 – thank you for your interest in the European Smokefree Supporter of the Year 2009

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The European Smoke Free Awards 2009 are supported by