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SELECTION CRITERIA
Selection will be based on criteria such as the following
  Length of Membership
  Regular attendee at Brisbane Lions games
  Over 18 years of age
  Show dedication and support of the club through the cheersquad, attendance at club events, purchase
   of merchandise, collection of memorabilia, travel interstate to support the team, etc.
NOMINATION DETAILS
YOUR NAME (PLEASE NOTE YOUR DETAILS WILL NOT BE DISCLOSED WITHOUT APPROVAL)

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YOUR NAME (PLEASE NOTE YOUR DETAILS WILL NOT BE DISCLOSED WITHOUT APPROVAL)

YOUR CONTACT NUMBER

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YOUR CONTACT NUMBER

YOUR NOMINEE FOR MEMBERS HALL OF FAME

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YOUR NOMINEE FOR MEMBERS HALL OF FAME

YOUR NOMINEES CONTACT NUMBER

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YOUR NOMINEES CONTACT NUMBER

AGE OF NOMINEE

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AGE OF NOMINEE

HOW MANY YEARS HAS YOUR NOMINEE BEEN A BRISBANE LIONS MEMBER?

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HOW MANY YEARS HAS YOUR NOMINEE BEEN A BRISBANE LIONS MEMBER?

HOW DOES OR HAS YOUR NOMINEE DEMONSTRATED OUTSTANDING PASSION AND DEDICATION TO THE BRISBANE LIONS?

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HOW DOES OR HAS YOUR NOMINEE DEMONSTRATED OUTSTANDING PASSION AND DEDICATION TO THE BRISBANE LIONS?

HAS YOUR NOMINEE BEEN A REGULAR ATTENDEE AT BRISBANE LIONS GAMES, HOME AND AWAY? (PLEASE PROVIDE DETAILS)

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HAS YOUR NOMINEE BEEN A REGULAR ATTENDEE AT BRISBANE LIONS GAMES, HOME AND AWAY? (PLEASE PROVIDE DETAILS)

DOES YOUR NOMINEE BELONG TO ANY BRISBANE LIONS SUPPORTER GROUPS OR HAVE ANY ADDITIONAL MEMBERSHIPS? (PLEASE PROVIDE DETAILS):

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DOES YOUR NOMINEE BELONG TO ANY BRISBANE LIONS SUPPORTER GROUPS OR HAVE ANY ADDITIONAL MEMBERSHIPS? (PLEASE PROVIDE DETAILS):

HOW DOES OR HAS YOUR NOMINEE ACTIVELY PROMOTED THE BRISBANE LIONS?

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HOW DOES OR HAS YOUR NOMINEE ACTIVELY PROMOTED THE BRISBANE LIONS?

PLEASE PROVIDE ANY ADDITIONAL DETAILS:

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PLEASE PROVIDE ANY ADDITIONAL DETAILS:

PLEASE ATTACH ANY SUPPORTING DOCUMENTATION BELOW:

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PLEASE ATTACH ANY SUPPORTING DOCUMENTATION BELOW:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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