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2023/2024 Regional Coordinator Nomination Form

Dear DBNSW member,

Please provide an answer for all questions in order to put forward your nomination for the role of regional coordinator.

Name (First and Last)*

Mobile Number*

E-Mail*

Club (If Any)

Region (If known)

Officials Accreditation (If Any)

Are you available for the entirety of the 2023/24 DBNSW season?*

Please provide a short response as to why you would like to be considered for the position.*

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