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Nomination Form for Representative Captain

Being a financial member of New south Wales Darts(inc) I wish to nominate as representative Captain for

Teams

Mens Rep Captain

Ladies Rep Captain

Youth Girls Rep Captain

Youth Boys Rep Captain

Name

E-mail

Date

Phone

My qualifications and/or experience for this position are (please attach further pages or supporting documents if Required):

Additional Information I would like to tell you:

Attach supporting documents here:

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