Life Member Volunteer Recognition

Life Member Nomination Form

Clubs, Associations and Regions may nominate any volunteer at their organisation that has been awarded a Life Membership in the previous season. Volunteers receive a letter from the CEO of Cricket Victoria which is posted directly to the volunteer nominated for recogniton.

Complete and submit the Life Member Recognition Nomination Form below.

Fields marked with * are required.

Nominee:*
For Services to:*
Postal address of Nominee:*
Postcode:*
Nominator:*
Position held by Nominator:*
Phone number of Nominator:*
Email address of Nominator:*