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SolarHub Home Grown Hero Award 2021
1.
Contact details of person nominated:
Name
Address
Address 2
City/Town
State/Province
Email Address
Phone Number
2.
Contact details of person nominating:
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
3.
District Association or Club Affiliation:
4.
Please provide examples of how the person nominated has demonstrated an exemplary commitment to their community- examples may include community events, volunteering, program development and other examples of going above and beyond.
5.
Can you provide supporting documentation?
Yes
No
6.
If you answered 'Yes' to the previous question please provide examples below:
File size limit is 16MB
Choose File
No file chosen
7.
Do you provide permission for Netball ACT to use information provided for the purposes of judging the 2020 SolarHub Home Grown Hero Award?
Yes
No
Current Progress,
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