BOARD MEMBER NOMINATION FORM

I NOMINATE THE FOLLOWING CANDIDATE TO STAND FOR ELECTION TO THE BOARD OF DIRECTORS FOR THE TERM BEGINNING JUNE 2024

NOMINEE’S INFORMATION

Email *

NOMINATED BY

Nomination Options: *

Self-nomination

Nomination by someone else

Nominator's Information:

POSITION NOMINATED

Please submit the nomination form on or before June 15th, 2024, to be listed on the printed ballot. If self-nominating, a second nomination is required. This form must be submitted by the nominator.

Nomination Confirmation

I have contacted the above nominee and he/she has agreed to stand for election.