Life Membership Nomination Form

NOMINATION FORM – LIFE MEMBER

I/We nominate the below person to be recognized as a Life Member of the Healesville Football and Netball Club

Name of Nominee

_________________________________________________________ Describe in 200 words or less the reason for nominating the above named nominee (please print form and complete) ___________________________________________________________________________

___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Nominator/s

___________________________ Signature

___________________________ Name (print)

___________________________ Date

___________________________ Email or Telephone Number

___________________________ Signature

___________________________ Name (print)

___________________________ Date

___________________________ Email or Telephone Number

Once completed, please place in a sealed envelope with “Life Member Nomination” written on the front and give or email to it to the President / Secretary- secretary@hfnc.com.au

Life Membership - Nomination Form.pdf

Life Membership Nomination Form

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