State Captains, Managers and Selectors Nomination Form

Nomination Form for State Captains, Managers & Selectors

The following nomination details can be completed & submitted online, complete the form & hit the submit button at bottom of page.If you prefer fax or email, click here to open in word format, copy it to your specified folder, fill in details and either fax or email to the Secretary (WADC Inc.).

Nominations for Ladies/Men’s State Captains, Managers and Selectors will close on (date & time TBA)
All persons applying for the above positions must attend the WADC Board of Management Meeting on the (date & time TBA)
Any person interested in applying for the above positions may do so in writing or on this nomination form.

Betty Hislop

Secretary (WADC Inc.)

Unit 7/6 Yanmar Pl, Mandurah 6210

Postal Address: P.O. Box 4303, North Mandurah 6210

Phone: (08) 9581 3294

Fax: (08) 9581 3294

Mobile: 0409 172 647

Email: bettyh@iinet.net.au

The following declare that: I will attend the State Singles, Doubles, Teams Championships, and all State Trials and events that have a bearing on State Selection.


Name:	wishes to nominate for the position of Ladies State Captain
Name:	wishes to nominate for the position of Ladies State Manager.
Name:	wishes to nominate for the position of Men’s State Captain.
Name:	wishes to nominate for the position of Men’s State Manager.
Name:	wishes to nominate for the position of Ladies State Selector.
Name:	wishes to nominate for the position of Mens State Selector.
House Number:
Street Name:
Suburb or Town:
Post Code:
Phone Number:	including STD code
Fax:
Email Address:	your correct email address for confirmation of details.
Comments: