National B.A.M.E Health & Care Awards Form 5th annual National B.A.M.E Health & Care AwardsNational B.A.M.E Health & Care Awards on 26th September 2024, in LondonFirst NameLast NameCompanyRolePhone/MobileEmailI am- Select -SponsorsMediaDelegateColourful StaffGender- Select -ManWomanNon-BinaryTransgenderOtherPrefer Not To SayCountry- Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsIndustry- Select -NHSVoluntaryThird SectorHospitalityMediaEntertainmentTransportationHealthcareEducationFinancial ServicesTechnologyInsuranceManufacturingInformation and CommunicationsHealthcare and Social AssistanceAccommodation ad FoodCreative Arts and DesignJob Function- Select -AccountingAdministrativeBusiness DevelopmentCommunity and Social ServicesConsultingEducationEntrepreneurshipFinanceHealthcare ServicesHuman ResourcesInformation TechnologyLegalMedia and CommunicationMilitary and Protective ServicesOperationsProduct ManagementProgram and Project ManagementPurchasingQuality AssuranceResearchSupportDo you require wheelchair access- Select -YesNoLinkedin ProfilePlease enter your dietary requirement (If Applicable)- Select -NoneLactose IntoleranceDiabetesGluten-freeVeganHalalKosherPalaeolithicOther (please state)Allergies (please state)Other dietary requirementAllergies (please state)How did you hear about us - Select -FacebookInstagramTwitterWebsiteGoogle SearchWord of MouthDo you want to book additional ticket (s) Yes No Register another ticket (s) Full name Gender Enter Your Dietary Requirement (If Applicable) Other dietary requirement Select genderManWomanNon-BinaryTransgenderOtherPrefer Not To Say NoneLactose IntoleranceDiabetesGluten-freeVeganHalalKosherPalaeolithic Tickets & PaymentIndicate the number of tickets and make payment.Ticket type NHS Voluntary Sector Corperate /otherPrice per ticket (£)Confirm the number of additional ticketsNo payment items have yet been selectedPay with Card (Stripe)Discount CodeApply Coupon Permission To Share: I consent that the data provided on this form will be passed over to our sponsors who may contact you in the future. I have read and agree to the Terms and Conditions and Privacy PolicySubmit Form
