IMPORTANT: We need to make sure that all details of the the MAA GLOBES winners and their campaigns are accurately portrayed on the MAA GLOBES awards and in media releases. Please provide exact details where asked. Please complete a new ENTRY FORM for each entry. Fields marked * are compulsory.

Your Entry Details
Full name of the Company submitting the entry (exactly as you want it on an award)*
Person submitting entry*
Company Address*
City*
Postal Code
Country*
Telephone*
Fax*
Email*
Website
Name of Senior Executive to contact if an award is won
Senior Executive’s title
Senior Executive’s telephone
Senior Executive’s email
Campaign Details
Full name of the client (exactly as you want it on the award)*
Client Contact Name
Client Contact Telephone
Campaign title (exactly as you want it on an award)*
Choose a category*		Select 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Refer Categories here
Campaign Start date*		dd/mm/yyyy
Campaign Finish date*		dd/mm/yyyy
All Entries will become the property of MAA GLOBES who reserve the right to publish all or any part.
Create a Login
Please create a unique login for your account. You will use this to log into your entrant management page and edit the campaign content. If you are submitting multiple entries you will still need to create a unique login for each of these. You can log in and out as often as you like and continue to submit or edit your material until close date.
Create a unique login name. Must be at least 4 characters.*
Create a unique password for your login. Must be at least 4 characters.*
Confirm password*
Enter verification letters into the box*