BOARD MEMBER NOMINATION FORM

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

  1. NOMINEE’S INFORMATION

  1. NOMINATED BY

Nominator's Information:

  1. 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.