This is to nominate a volunteer, supporter, member, professional, or general member of the public who has made an outstanding contribution to HAPPA.

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* 1. Who would you like to nominate?

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* 2. What is the reason for nominating this person?

This section is for your details and not the person you have nominated.

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* 3. What is your name?

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* 4. What is your phone number?

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* 5. What is your email address?

0 of 5 answered
 

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