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To coincide with the 2nd Gallagher Global Gathering, which is being held in Co. Donegal, Ireland, from 6th to 14th September 2013, the organising Committee of this Gathering is inviting nominations for the Gallagher Global Award 2013.
Your Name*:
Your Address*:
Your Telephone:
Your Email Address*:
Nominee Name*:
Nominee Address*:
Nominee Telephone:
Nominee Email Address:
Nomination Reason*: