Tomakin Treasures Nomination Form

TCA Tomakin Treasure Nomination Form

In our beautiful local community, there are men and women who have made an outstanding contribution to Tomakin. Some people have gone above and beyond to help those around them, particularly through the 2019-20 bushfires. These are the people who often work tirelessly and selflessly with little recognition. They are Tomakin Treasures!

With your help, the Tomakin Community Association wishes to celebrate the enormous contribution that these community members make to our local community.

Do you know a Tomakin Treasure? Please nominate them by COB Monday 10th May.

Question Title

* 1. Name of Nominee

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* 2. Address

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. Have you told the person you are nominating them?

Yes

No

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* 4. Why are you nominating them as a Tomakin Treasure? (Please provide a short summary of the reasons for nomination - approximately 200 words).

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* 5. Your details. (We may contact you to discuss your nomination. All nominees will receive a Certificate of Appreciation from the Tomakin Community Association.)

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number