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Nomination Form- Nominations Close Friday 12th August

Please fill out all the details to ensure your nomination is valid. All nominees either must reside in the electorate of Berwick or actively participate in a sports club or community group in the Berwick Electorate to be eligible for an award. To find out about the new electorate boundaries  www.ebc.vic.gov.au

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* 1. Please fill in the contact details of the community champion you would like to nominate:

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* 2. Please outline why your nominee should receive a Berwick Community Award. (The more detail is appreciated)

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* 3. Please provide your information so we are able to get in touch with you regarding your nomination. (Please note without your contact information the nomination will not be valid)

All submitted nominations will receive a confirmation email within 3 business days of submission to confirm your nomination form was successfully received.  Please ensure your contact details are correct in order for us to be able to contact you. 

Successful applications will be notified following the closing date (August 12th) to arrange a time for Brad Battin MP to present the award at the winner's community organisation in front of their peers. 

Please do not hesitate to contact Shemane from Brad's office on 5953 0216 if you have any enquiries.
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