Community Group Nomination Form"*" indicates required fields First name*Last name*Your email* Your phone numberNominated community group name*TypeCharity, Community, SportCharityCommunity GroupSporting ClubOtherState or TerritoryState or TerritoryACTNSWNTQLDSATASVICWAGroup's contact name*Group's contact positionContact PositionPresidentVice PresidentSponsorship ManagerRegistrarCommittee MemberOtherGroup's contact email*Group's contact phone numberCAPTCHA