APF Honorary Life Membership

APF Honorary Life Membership Nomination

Nominee Information

Nominee Name*

APF Number (if known)

Nominator Information

Nominator Name*

Nominator APF Number

Nominator Phone Number*

Nominator Email*

Criteria

Reference

This award can be used to recognise a contribution by someone who is not an APF member or has not achieved 30 years of membership. Please indicate how the nominee has demonstrated exemplary and outstanding service or support to the sport or industry.*

Additional Information

Here you can provide any other relevant information you feel may support the nomination

Mandatory field(s) marked with *

Reference Form

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Site Address:
Unit 3, Portal Office West,
2994 Logan Road, Underwood
Queensland 4119, Australia

Phone: +61 7 3457 0100
(International: +61 7 3457 0100)

Postal Address:
Po Box 1440, Springwood
Queensland 4127, Australia

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