Life Member of Netball NSW
Nomination Form
Nominations Close 5:00pm Friday 30th August 2024 

Where possible, please provide a recent head and shoulder photograph of the nominee with this form. Please forward a copy of the photo along with nomination details referencing the completed nomination form to:
THE CONVENOR - Netball NSW Life Member
community@netballnsw.com 
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Email *
Nominee First Name *
Nominee Last Name *
Nominee Address *
Please include suburb and postcode 
Nominee E-Mail *
Nominee Phone Number *
Nominee's Affiliated Club & Association *
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