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Board of Directors Nomination Form (to nominate someone other than yourself)
Email address *
Your Name:
Your answer
Your Address and Phone Number:
Your answer
Name of person you are nominating for board service:
Your answer
Address, Phone and Email of Nominee:
Your answer
Relationship of Nominator to Nominee:
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How long have you known nominee? In what context?
Your answer
Why do you think the nominee would make a good Board Member?
Your answer
Signature of Nominator
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A copy of your responses will be emailed to the address you provided.
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