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LNP Heroes Nomination

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Nominator Details

As the nominator, please enter your details below

Name*

First Name Last Name

Email*

Phone

Membership number*

I am a member of the LNP*

Nominee Details

I wish to nominate the following person as an LNP Hero:

Name*

First Name Last Name

Email*

Phone

He/she is a member of the LNP*

Reasons for Nomination*

Briefly state the main reasons why this person should be considered an LNP Hero

Name

This field is for validation purposes and should be left unchanged.

Contact LNP

LIBERAL NATIONAL PARTY
281 Sandgate Road, Albion Queensland 4010

Phone (07) 3844 0666

Authorised by B. Riley, 281 Sandgate Road, Albion QLD 4010
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