EXECUTIVE & COMMITTEE NOMINATION FORM

Club/Life Member. I hereby accept the said nomination. Signature. Date. Please return completed form to [email protected]asn.au.

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EXECUTIVE & COMMITTEE NOMINATION FORM

Given Name Address

Surname

Phone Mobile

Email

Post Code

Position nominating for (please tick)

Executive

Committee

List Positions

Qualifications to be listed or attached

Nominated by ______________________ of _______________________ Club/Life Member Seconded by ______________________ of _______________________ Club/Life Member I hereby accept the said nomination Signature Date Please return completed form to [email protected]

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