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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Are you currently a member of any clubs/associations?

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* 5. Are you currently on any organisation or club committee?

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* 6. Most recent committee experience

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* 7. Additional baseball experience (if applicable)

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* 8. Do you have any other baseball/junior/women's sport experience or background you would like to include?

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* 9. Optional: please provide any further details to support your nomination

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