27th September 2019, Royal Marine Hotel, Dun Laoghaire, Co. Dublin

Organisation Name (required)

Applicant's Name (required)

Applicant's Job Title (required)

List of all relevant CEO's/Chairpersons/Directors/Senior Management (if Available)

Address (required)

Telephone Number (required)

Applicant's Email (required)

Supporting documents and a 1000 word entry statement are to be posted to the CMG offices (address below). After you submit below and above information. You will also need to post 3 copies of all supporting documents and your 1000 word entry statement to:


Commercial Media Group,
Second Floor, Block C,
Apex Building, Blackthorn Road,
Sandyford, Dublin 18.

CATEGORY ENTERED

Please tick the box beside the category this relates to:

Healthcare Initiatives

Name of your organisation's initiative (if applying for a healthcare initiative) Please note that this is the final title that will appear going forward, so please ensure it's correct!

I have read the terms and conditions

Additional Information