Nomination Form


Please use the form below to submit your nomination for District 2 Officer. Your information will be sent to Jessica Springstead ATC. If you have any questions, please contact her at jmsprings19@yahoo.com or by phone at (973) 632-4082.
 

Nominee Information:

POSITION:

NAME OF NOMINEE
WORK ADDRESS
WORK PHONE
Nomination Submitted by:

NAME:

WORK ADDRESS
WORK PHONE
TODAY'S DATE