SMNE Club Delegate Nomination Form
Swimming Metro North East Inc
I would like to submit a nomination for myself for the position of:
*
Please Select
Club Delegate
Name of person Nominating
*
First Name
Last Name
I confirm I am a financial member of the SMNE Club below
*
Abbotsleigh
Hunters Hill
Knox Pymble
Ku-ring-gai
Lane Cove
Manly
Mosman
Narrabeen
North Sydney
Ravenswood
Seahorses
Shore
Terrey Hills
Warringah
Wenona
Willoughby
E-mail of Nominee
*
example@example.com
Phone Number (Required)
*
NSW Working with Children Check
*
Format: WWCxxxxxxE or W
NSW WWC Expiry
*
-
Day
-
Month
Year
Date
Attending SMNE AGM?
Yes, I will be there
No, unfortunately I can't make it
Submit
Should be Empty: