NOMINATE A ROTARIAN

Fill the form below in order to nominate a Rotarian for this award. We look forward to receiving your application. 

NOMINATION FORM

PAYMENT METHOD

Direct Debit or Cheque Payable to ‘The Royce Abbey Award Account’ 

 

Bank Details:

Bendigo Bank Strathmore Branch

BSB: 633-000   Account No: 138910518

(Please include the name of your Club and the Nominated Rotarian with your payment)

Please make only one payment by Cheque or Direct Debit for AUD$1,195.00.

(AUD$1,000.00 will be paid into the The Royce and Jean Abbey Endowed Fund within The Rotary Foundation on behalf of your club. You will receive  a receipt directly from The Rotary Foundation. AUD$195.00 covers the presentation pack, badge and costs related to the promotion and administration of the Award)

For help contact:

Maria Kouppas 0416 122 523; Roger Leask 0412 706 566; David Abbey 0418 579 734

Address: Royce Abbey Awards, PO Box 161, Essendon, 3040

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Thanks for submitting!