Online Form - Lifetime Contribution to Volunteering

This award will be presented in honour of a senior individual (65+ years) who has made an exemplary life-long contribution to volunteering and who, through their volunteering, has contributed to the betterment of the Town of Bassendean community.

About the person you are nominating:

Please tick the boxes below to show that your nomination meets all the following criteria: *

Reason for nomination:

Please provide your details:


Terms & Conditions

Thank you for taking the time to complete your nomination.

Please accept the Terms and Conditions to continue:

Terms and Conditions

Acceptance *

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