Kogelberg IMP - 2nd SH meeting Report.pdf - Anchor Environmental

Appendix 3
Nomination form distributed at the Stakeholder Meeting on 8 December
2009
NOMINATION FOR KOGELBERG COASTAL
COMMITTEE
NOMINEE
Please clearly print or type the following details about the interest group and person you are nominating.
You must ensure that all sections of this form are completed. This nomination form must be handed or posted
or
faxed or emailed to Anchor Environmental Consultants by 31 December 2009
(PO Box 34035 Rhodes Gift 7707, Fax: 021 650 3301, Email: karentunley@gmail.com)
I……………………………………………… (name of stakeholder) nominate the following person/s as
representatives for the ……………………………………………… (interest group) on the Kogelberg Coastal
Committee:
Surname:
It is most important that the
name given is accurate and
that the spelling is correct.
Forenames:
Postal Address:
Email:
Telephone no:
If known. (Incl. area code).