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NOMINATION TO HIGHLANDER RESEARCH AND EDUCATION CENTER BOARD OF DIRECTORS Nominated By: __________________________________________________________ Name of Nominee: Address: Phone: ____________________________(h) ______________________________(w) Email: _____________________________________ Fax: ________________________ Has this person been contacted for willingness to serve on the board? Yes____ No_____ Description of nominee:

Board Nomination Form

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NOMINATION TOHIGHLANDER RESEARCH AND EDUCATION CENTER

BOARD OF DIRECTORS

Nominated By: __________________________________________________________

Name of Nominee:

Address:

Phone: ____________________________(h) ______________________________(w)

Email: _____________________________________ Fax: ________________________

Has this person been contacted for willingness to serve on the board? Yes____ No_____

Description of nominee: