| FRIENDS OF CROFTON OLD CHURCH |
| Nomination form |
| I wish to nominate...............................................................................(Name in Block Capitals) |
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| For the position of..............................................................................(State which Office or Committee) |
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| Proposed by.......................................................................................Name in Capitals and Signature |
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| Seconded by......................................................................................Name in Capitals and Signature |
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| I agree to stand for election as above.....................................................Signature of Nominee |
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| Date....................................... |
