Victoria Branch Nomination Form - 2018

Victoria Branch  Nomination Form

(Deadline for submission – October 10, 2018)

Positions for Nomination (please check off the appropriate position) you can only run for one position at a time.

Position / Term Ending / Check

President / December 1, 2018 /

Secretary / December 1, 2018 /

Member at Large / December 1, 2018 /

Name of Nominee:

Address:

Telephone Number:

Fax Number:

E-Mail Address:

Group:

Signature / Date

Names and signatures of nominating members (must be in good standing):

Name / Signature

1.

2.

3.

4.

5.

Please send Completed Nomination Form to:

Christine Cress at cresscr@gmail.com by 4:00 pm on or before October 10, 2018.