First Name*

Last Name*

Date of Birth*

Address*

Business Name*

Phone

Your Email*

About you*

About your work*

About your business*

About your plans for the future*

Please provide full url links to your website and any social media channels where we can view images of your work
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How did you hear about this award?*


Before submitting this form please check that you have completed all questions marked * and that you have supplied the correct contact details.

If you have difficulty submitting this form please email admin@peakdistrictasrtisans.co.uk



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We will be in touch after the submission deadline. If you have any queries in the meantime please feel free to contact us at emerging@peakdistrictartisans.co.uk