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

Organisation Name (required)

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

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

I have read the terms and conditions

Additional Information