Name *Email Address *Phone *Membership numberWill you be attending the AGM and Social?Meeting onlyMeeting and lunchMeeting, lunch and quizI will not be attending. Please present my apologiesPlease tell us about any dietary preferencesDo you wish to nominate someone to vote on your behalf?YesNoName of proxyPlease enter the name of the person representing youDo you wish to stand for election to the committee?YesNoPlease tell us how you can help the committee0 / 500AWARDSPlease nominate anyone you think deserves the following awards:PerseveranceCommentsPerson going above and beyondCommentsMost improvedCommentsSpecial achievement awardComments Submit
