NOMINATE YOUR CLUB OR SCHOOL Question Title * 1. NAME Question Title * 2. CONTACT PHONE NUMBER Question Title * 3. TRANSACTION NUMBER (TRANS. # ) Question Title * 4. PURCHASE AMOUNT Question Title * 5. VENUE PURCHASED FROM ZAGAME'S BALLARAT HOTEL ZAGAME'S BERWICK HOTEL ZAGAME'S BORONIA HOTEL ZAGAME'S CAULFIELD HOTEL ZAGAME'S RESERVOIR HOTEL Question Title * 6. FULL NAME OF NOMINATED CLUB OR SCHOOL Done