USAFL Life Member Nomination Form

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To submit a nomination for the United States Australian Football League Life Membership, please complete the details below.

The Nominee

Please enter the details below as they pertain to your nominated individual.

First Name *

Last Name *

Club *

Current or previous

Reason for your nomination. *

Please provide a detailed outline as to the reason for your nomination. Include acheivements, years, USAFL involvement, club history etc.

Email Address

Please provide their email address in case we need to contact them.

Phone

Please provide their phone number in case we need to contact them.

The Nominator

Please provide us with your details, so we know who has made the nomination should we need to contact you.

First Name *

Last Name *

Email Address *

Phone Number *

Submit

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