Midwest Region, NMRA
Nominating Petition for Director-at-Large for the 2008 – 2010 Term (Page _____ of _____ Pages)

Candidate’s Name ______________________________ Address ________________________________________

Telephone No. _______________ E-Mail Address ______________________________ NMRA No. __________

Name (Please Print)

Address

Telephone No.

E-Mail Address

NMRA No.

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your petition must include at least ten (10) names, signatures, etc. of current, resident NMRA members. You may include additional names, signatures, etc, by attaching additional forms. File this form, a biography/candidate’s statement of 200 words or less and a 2x2, passport-style photo with the Region Secretary. By submitting this filing you agree to serve as a Director-at-Large for a two-year term, if elected. Your filing must be received no later than September 6, 2007.