LIFE MEMBERSHIP APPLICATION FORM
We love celebrating committment to our club. If you know a worthy recipient of life membership, please let us know. Nominations close each year by 1st June.
Nominee Name
*
First Name
Last Name
Nominee (Maiden Name if applicable)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Contact Phone
*
-
Area Code
Phone Number
Nominee Photo
Browse Files
Please upload a Hi-Res photo of the nominee or email to the club grangenetball@gmail.com
Cancel
of
Application
The person making this application for Life membership of the Nominee.
Proposer Name
*
First Name
Last Name
Contact Phone
*
-
Area Code
Phone Number
Email
example@example.com
Nominees Club Involvement (pls add 20 years involvement), or if less, add commentary below
*
Add any commentary on support of this nominee.
*
0/1000
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