London Branch - 2018 Nomination Form (Anglais seulement)

LONDON BRANCH

2018 NOMINATION FORM

I,      hereby express my willingness to be a candidate for the position of  __ on the London Branch in the 2018 elections.

DATE

SIGNATURE

TEL:  

Work

Home

Home Address:                   

Work Address:

Email Address:

Each nomination must be supported by at least 5 Regular members of the London Branch.

We, the following Regular members in good standing of the London Branch sponsor __ for nomination to the London Branch Executive.  Both signature and clearly printed name are required.

Name /  Signature      

1.