Mercury Awards | Online Entry Form

2026-2027 Mercury Online Entry Form

Entry Information Title of Entry: Category-Classification Code: (Choose up to 3)
To place this entry in more than 3 classifications, please submit an additional entry form. Other/Misc. Description: Format: DVD/USB Mixed Media Print Only App/Web
URL: Password or special instructions: Language: English Chinese German Korean Spanish Other
Briefly Describe Theme or Goal:

Nominator Information

Name: Mr. Ms.

Job Position: Organization: (As it should appear on winning certificate)

Address:

City:

State:

Zip:

Country:

Telephone:
(Include area/country code)

Fax:
(Include area/country code)

Email: Website: Client Information is the same as Nominator Information

Client Information