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1. Your name: (Required.)

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2. Your phone number: (Required.)

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3. Your email: (Required.)

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4. Name of the nominee (the person you are nominating): (Required.)

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5. The nominee's email address: (Required.)

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6. The nominee's phone number: (Required.)

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7. Please tick boxes that best describe the nominee's involvement in General Aviation (GA). (Required.)

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8. Nominee's date of birth (Required.)

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