Propose a Plaque
Name of Nominator *
Email address *
Phone number *
Community group
Name of nominee *
Date of birth of nominee *
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Date of death of nominee *
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Please complete, based on the guidelines:
Please give a summary of the life and work of your nominee (c. 100-150 words) *
Please explain how your nominee improved the lives of women or provided a role model for women. *
Has your nominee been memorialised or celebrated previously? If so, when, where and how? *
Each Plaque costs between £500 and £1,000. Would you need assistance to help raise this money? *
Has a building or site been identified for the installation of a plaque? Could you help with the practicalities locally? Please provide the post code of suggested possible buildings. *
Please provide the name of a referee, and their contact details. This should be someone who can provide additional support to the proposer/s.
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