SECONDER'S FORM
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SECONDER: LAST NAME & FIRST NAME *
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SECONDER: EMAIL ADDRESS *
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SECONDER: ADDRESS *
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SECONDER: TELEPHONE AND/OR CELL *
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SECONDER: MEMBERSHIP TYPE *
SECONDER: CORPORATE MEMBERSHP NAME(IF SECONDER BELONGS TO ONE AND FOR VERIFICATION PURPOSES) *
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SECONDER : CORPORATE MEMBERSHIP STATUS *
SECONDER: THIS SECONDING IS IN RELATION TO THE NOMINATION OF....( PLEASE TYPE THE LAST NAME AND FIRST NAME OF THE NOMINEE) *
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SECONDER: THIS SECONDING IS IN RELATION TO THE ABOVE MENTIONED NOMINEE NOMINATED BY..... (PLEASE TYPE THE LAST NAME AND THE FIRST NAME OF THE NOMINATOR) *
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SECONDER'S STATEMENT: 1. I am a member in good standing.2 I have informed the nominee that I have seconded his nomination. 3. I am filling this form on behalf of myself that is subject to verification and if any of the information I submit does not conform to the infomation on file , my seconding would be ground for disqualification of the nomination. *
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