National Transport Trust

Name of site being nominated *:

Address/Location of site *:

Owner of site *:

Name of Owner:

Address of Owner:

Owner's Email:

Owner's Phone:

Why does the site merit a Red Wheel Heritage Plaque? *:

Where should the plaque be mounted? *:

Is this location visible to people passing by? *:

Yes No

Is the site listed or otherwise protected? *:

Yes No

How accessible is the site and the location proposed for the Red Wheel plaque? *:

Nominator's Name *:

Nominator's Address:

Nominator's Email:

Nominator's Phone:

What is the relationship of the Nominator to the Owner of the site? *:

Does the nominator have the permission of the owner to make this nomination? *:

Yes No

Is sponsorship available to support the cost of making the plaque?:

Yes No Maybe

Is the owner able and willing to mount the plaque at his own expense?:

Yes No Maybe

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Nominate Site for a Red Wheel