nom-form-online

Please nominate one person per form (four nominees max) Nominee must reside in the Atlanta
Metro area and be 16 years or older.

Name of nominee: (Please print)

Phone number(s) of nominee:

***

Your name (Please print)

Your phone number(s):

Note:

To be accepted, this nomination must have five (5) supporters for your nomination. - With their permission,
print the names of each and include their phone number. They will be contacted for verification. Each of these
persons must be 16 years of age or older and live in Metro Atlanta.

1. Name (print):

Phone #

2. Name (print):

Phone #

3. Name (print):

Phone #

4. Name (print):

5. Name (print):

Phone #

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Nomination Form (Online Form)
Unity Council Election (September 8, 2012)

Please submit on or before July 14, 2012