GOLD COAST SPORT TECHNOLOGY

OR INNOVATION AWARD

First Name *

Last Name *

Email Address *

Mobile Phone No. *

Is the business you are nominating your business? *

Please provide the names and contact details of three refereees who can substantiate your business or progam

First Name *

Last Name *

Email Address *

Mobile No. *

First Name *

Last Name *

Email Address *

Mobile No. *

First Name *

Last Name *

Email Address *

Mobile No. *

What is the name of the person, product or business you are nominating *

Please provide the business owner's contact details.

First Name *

Last Name *

Email Address *

Mobile No. *

Website URL

What is the product/program/technology’s primary function (EG, fan engagement, skill development, etc) *

How does the product specifically benefit the user? *0 / 500

Is the product or program currently in use? *

If so, please give details

Is the business on the Gold Coast? *

If no, is the business in operation on the Gold Coast?

Please provide further information such as case studies, user testimonials, proof of concept, client reviews, product images, etc,

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Gold Coast, Australia