Achilles Awards Dinner Nomination Form

ACHILLES NZ ANNUAL AWARDS DINNER

24TH May 2019

7.00pm-10.00pm

The Finish Line AUT Millennium

NOMINATION FORM

  • The deadline for all nomination forms is 5th May 2019.

  • Selection of finalists is based on the information contained on this nomination form so please make your submission as comprehensive as possible. Please scan and send back to the National Manager by the above deadline.

NAME:

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EMAIL:

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PHONE:

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CHAPTER:

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Categories (choose from below):

  • Male Athlete of the Year

  • Female Athlete of the Year

  • Ambassador of the Year

  • Volunteer of the Year

Please list achievements (This could include development, competition, coach/official/volunteer,

support, management, sponsorship/fundraising, club organisation):

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Please return form and a photograph to

john@achillesnewzealand.org

Alana Lythe