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

Full Name: *

Company: *

Address: *

City: *

ZIP Code: *

Phone: *

Email *

NOMINATED BY

Nomination Options: *

Self-nomination

Nomination by someone else

Nominator's Information:

Name: *

Company: *

Phone: *

Email: *

POSITION NOMINATED

Position Nominated for *

President

Vice President

2nd Vice President

Secretary

Treasurer

Sergeant at Arms

Bail Agent Representative

Fugitive Recovery Representative

Director(s) at Large

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.