Application details for an Organisation or Company

Your Name*:

Your Email:

Postal address of the organisation:

Please show here your suggested text for the citation which will appear on the Certificate. Complete the sentence with no more than 30 words. We may suggest changes to you if we think we can improve on it.
This certificate is presented by (name of organisation or company) to (name of person) for the outstanding achievement of

What is the exact name you wish to appear on the Certificate and in the Scroll of Honour entry?

Is he/she still living? Yes   No

Which town/city/area are they now / were they living?

The name of the organisation which is to appear in the citation on the certificate:

Details of a senior management person able to verify that this application is officially authorised.

Name of the person:

Position within the organisation:

Email address:

Telephone number:

If you need the Certificate delivered to a different address, please enter it here:

Name:

Address:

Town/City:

Postcode:

Country:   

I* declare that all the information I have given as part of this application
is completely true.

Keep our name and address on file and remind us when the annual renewal of our entry is due and also of any new offers.

Recognition for ALL reserves the right to refuse recognition of an achievement or Scroll of Honour entry without assigning any reason. Please see question one in Frequently Asked Questions.

For security purposes, please enter the verification number and letters
4all in this box:

The information given will be treated in the strictest confidence and will not be passed to any other company in any format.