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Annual Volunteer Awards Nomination

Queenslands Annual Volunteer Awards

Bundaberg Regional Council Area ONLY

Firstly, we need your contact details.....

Your Name :   Surname :  
Your Mobile :  
Phone :  
Your Email :  

And now about the person you are Nominating.....

Name :   Surname :  
Phone :  
Their Email :  
Volunteers Current Workplace :  
Region :  
Which town does the Volunteer work? :  
Your reasons for
nominating them :  

Do you accept the Terms and Conditions?  
I agree with the Terms and Conditions of Nomination

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