MBE Nomination Form MMSDC 2018-2019 Board of Directors

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Nomination forms must be completed in full, and must include the nominee’s name, company and zip code (where applicable). Self-nominations are permitted. Please refer to attached document for position requirements. Failure to provide all information, including the signature of the person making the nomination AND the date will nullify the nomination. Regional representatives’ zip codes must be included on the nomination form.

COMPLETED FORMS MUST BE RECEIVED BEFORE WEDNESDAY, OCTOBER 18, 2017 AT 5PM ET.

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