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* 1. Your full name

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* 2. Your daytime telephone number

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* 3. Your email address

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* 4. Club name

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* 5. Your position in the club

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* 6. Nominee name

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* 7. Nominee position in the club

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* 8. Please outline background information about your club

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* 9. Please outline background information about your chosen nominee for Club Volunteer of the Year

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* 10. Describe this person’s regular pattern of assistance to the club including what impact this has on club life and the enhancement/development of the club.

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* 11. Why do you believe this person should win the Club Volunteer of the Year award?

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* 12. I confirm the information I have provided is accurate and correct at the time of submission

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* 13. I am happy for Gaelic Life to contact me about my enty, to confirm information and to seek clarification if required.

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