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Home >>Governance>>District Committees>>Nominations>>Nomination Form


Nomination Form

If you would like to nominate someone for a District 2 office, please complete the on-line form by October 1st. Your information will be sent to the Nominations Chair, Jessica Viana. If you have any questions, please feel free to contact Jessica at jmsprings19@yahoo.com or by phone at (973) 632-4082

Nominee Information:

OFFICE:

NAME OF NOMINEE 
WORK ADDRESS 
WORK PHONE 
EMAIL ADDRESS


Nomination Submitted by:

NAME:

WORK ADDRESS 
WORK PHONE 
EMAIL ADDRESS
TODAY'S DATE 

 
 
 

 



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