Buloke and Northern Grampians Landcare Network
PO Box 244, St.Arnaud, VIC, 3478 Contact: Andrew Borg, Landcare Facilitator e-mail: bnglandcare@gmail.com
BNGLN Steering Committee Nomination Form
Person Nominated:
First Name
Last Name
For specific position (President, Vic-President, Secretary, Treasurer) or general committee:
Nominated By:
First Name
Last Name
Accepted by Nominee:
Yes
No
Signature (Nominee)
Date
-
Month
-
Day
Year
Date
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Should be Empty: