DSRDA
2010
Committee
Nomination Form (Even Year)
Position:
Vice President* Secretary*
Committee Member* Public Officer*
Nomination: ……………….….…………… ……../…...../10
(Name
of Nominee in block letters) (Date)
Nominated By: ………..……………………… …………………………………..
(Name of
Nominator in block letters) (Signature
of Nominator)
Seconded By: ………..……………………… …………………………………..
(Name of
Seconder in block letters) (Signature
of Seconder)
Nomination: Accept*/Decline* …………………………….. ……../…...../10
(Signature
of Nominee) (Date)
(* Delete as appropriate)
(*Nominee/Nominator/Seconder must be financial members at least 10 days prior to AGM)
On
completion of this form, but not later than 20thth April 2010, deliver
to
the: President, DSRDA,
PO Box 392, BERRIMAH NT
0828