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Inspiring Sporting Women

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Allotment waiting list details
2. View eligibility guidance
3. I confirm I have read and understood the eligibility criteria*
4. You are not permitted to submit this form unless you have read and understood the guidance around eligibility criteria
5. Your Contact Details
  1. Title*
  2. First Name*
  3. Surname*
  4. Telephone
  5. Email Address*
6. Nominee Details
  1. Name of the person you are nominating*
  2. Why should they be recognised?*
    You can enter up to 255 characters
  3. Where do you think a plaque should be located and why*
    You can enter up to 255 characters
  4. What is their link to St Helens Borough?*
    You can enter up to 255 characters
  5. Do you have a connection to the person?*
    You can enter up to 255 characters
  6. Do you have any funding available to contribute towards the cost of a blue plaque?*
    You can enter up to 255 characters
  7. Do you have any documents or images to support your nomination?