Nomination for Election As an Officer

I (full name)                                                                                              
being a member of the Traralgon and District Historical Society Inc.hereby nominate

                                                                                              

for the office of                                                                                                 of the Society.

Signed                                                         

Date                                 

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I (full name)                                                                                              
being a member of the Traralgon and District Historical Society Inc.hereby second the
nomination of

                                                                                              

for the office of                                                                                                  of the Society.

Signed                                                         

Date                                 

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I consent to being nominated for the office of                                                                              
of the Society.

Signed                                                         

Date