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NOMINATION FORM FOR
SPORTS TEAM OF THE YEAR AWARD
TEAM NOMINATED:
(Team Name) ..............................................................................................................................................................................
(Contact Name) ..........................................................................................................................................................................
(Address) ....................................................................................................................................................................................
PERSON OR ORGANISATION NOMINATING: (Two contacts must be supplied)
1) .............................................................................................................................(Phone) .....................................................
2) ............................................................................................................................(Phone) .....................................................
SUPPORTING ORGANISATIONS: ...........................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
Note: Name of organisation, contact telephone and signature of person nominating are required.
QUALIFICATIONS FOR THE AWARD
On an accompanying sheet of paper, set out the services rendered or the success achieved in the sporting eld which you
consider qualies the nominee for the Award for which the team is nominated. Use one side of the paper only. Use type-
writer or neat printing.
UPON COMPLETION, MAIL THE RELEVANT PAPERS TO:
AWARDS CONVENOR
PO BOX 249,
WESTPORT
Nominations will be received up to 31 October, 2016
CONDITIONS ARE SET OUT ON REVERSE
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