2026 WCA Director Nomination Form

Director Nomination Form
Nominee's name

First NameLast Name
Nominee's Address

Street Address

Street Address Line 2

CityState

PostcodeCountry
Nominee Phone
Please enter a valid phone number.Format: 0000 000 000.
Nominee Email
example@example.com
Signature of nominee
Date of signing

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Nomination is proposed by

Person proposing nomination must be a member of WCA at the due date below
Proposed by

First NameLast Name
Proposer Phone
Please enter a valid phone number.Format: 0000 000 000.
Nomination is seconded by

Person seconding nomination must be a member of WCA at the due date below
Seconded by

First NameLast Name
Seconder Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Any queries about the process of nomination and appointment, or issues completing this form, please email exec@winecommunicators.com.au

The form must be submitted prior to 5.00pm ACST Wednesday 21 October 2026.
Should be Empty:

Director Nomination Form