HCP Award entry

This year all award entries must be submitted online. You will need to have the following things ready to complete your entry:

Your completed Word entry form (if you have not filled in an entry form yet, please click here to download)
Any supporting documents for your entry

Please note, you are invited to make as many nominations as you wish. At the end of the form you will be asked whether you wish to submit or enter an additional award. You can continue to add more entries and then submit when you are ready.

Personal Details

Title

First Name

Last Name

Job title

Job Title - Other

Phone number

Workplace/Company

Entry

Click here to name this section

Quantity

subtotal

Which category would you like to enter:

Upload completed entry form

Support document #1 (optional)

Support document #2 (optional)

Add additional entry

Entry 2

Quantity

subtotal

Which category would you like to enter:

Upload completed entry form

Support document #1 (optional)

Support document #2 (optional)

Add additional entry

Entry 3

Quantity

subtotal

Which category would you like to enter:

Upload completed entry form

Support document #1 (optional)

Support document #2 (optional)

Payment

Fee: £35+VAT per entry

Total number of nominations:

nomination(s)

Total amount:

Please note, you must pay the entry fee at the time of submitting your nomination. Your nomination will not be confirmed until payment is made. When your payment has been received you will be sent a confirmation email, and a receipt via our payment system.

For any queries please contact generalpracticeawards@cogora.com

Payment Information

Visa, Mastercard and American Express are accepted on this form

Name on Card

Card Number

Expiry Date

CVC Code

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Please indicate if you are happy for us to share your entry and contact details with third parties who request it (including but not limited to, online publications, print publications, associations):

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If you change your mind, you can withdraw your consent at any time by unsubscribing or email data@cogora.com.

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