COWRA PICNIC RACE CLUB INC.

ABN: 86 467 432 452
POSTAL ADDRESS: PO BOX 192, Cowra NSW 2794
PHONE/FAX: 02 6345 0448
WEB-SITE: www.cowrapicnicraces.org.au


PLEASE NOTE

Proposer and seconder must be members of the Club, and cannot be on the Committee.
Please submit $90.00 ($60.00 subscription and $30.00 new membership for the 1st year only)


Lyn Grace
(Secretary)


Cowra Picnic Race Club Inc.
Nomination Form

.....20...

CANDIDATE:................................................................................

OCCUPATION:.............................................................................

ADDRESS:...................................................................................

PHONE:.......................................................................................

CANDIDATES SIGNATURE:..........................................................


PROPOSER:.................................................................................

ADDRESS:....................................................................................

SECONDER:..................................................................................

ADDRESS:.....................................................................................


If downloading from the web please post to the above address.
If you do not know any members please contact the Secretary.