Good Neighbour Nomination Form

Thank you for celebrating your good neighbour's contribution to our community by helping those around them. Simply complete the following form. 

Should your story be selected, the nominee will be contacted to congratulate them on their nomination and request their approval to share their story. 

You need to be signed in to take this survey.

Who are you nominating as a Good Neighbour?

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Maximum characters 255
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How can we contact them:

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Maximum characters 255
Maximum characters 255
Maximum characters 255
Maximum characters 255

Your Details:

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Maximum characters 255
Maximum characters 10
I give permission for my story to be shared on Social Media by the City of Kalamunda. required

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