QCA 2009 Awards Nomination Form

Recognising and rewarding excellence in Quoted Companies. The Quoted Company Awards 2009 will recognise the achievements of quoted companies listed below the FTSE350. They will take a fresh and innovative look at the quoted company market and will reward the outstanding contributions of individuals active in public companies.

The awards will adopt a comprehensive, independent and unique judging approach to quotes small caps from below FTSE 350 through to AIM and PLUS. Closing date for nominations is 5th December 2008.

To nominate your firm, or a member of your firm for an award, simply fill in the details below and click 'Submit'. Alternatively, you can print the form and either post of fax using the details supplied below.

Jenna Parker
Quoted Company Awards 2009
Octavia House
50 Banner Street
London
EC1Y 8ST

Tel: 020-7250 7010
Fax: 020-7250 7011

Award category*	Chairman of the Year Non-Executive Director of the Year Investor of the Year Entrepreneur of the Year Chief Executive Officer of the Year Finance Director of the Year IPO of the Year Deal of the Year
Name of individual nominated*
Company name*
Company address
Phone Number*
Email Address
Please state in no more than 150 words your reasons for nominating your firm/individual for this award
Date of entry*
Please tick here if you do not wish to receive offers from the organisers or related companies. Please tick here if you do not wish to receive future offers from carefully selected third parties