NOMINATION FORM FOR MEMBERS WILLING TO JOIN THE COMMITTEE
NAME ……………………………………………………………………………………………………………………………………………
ADDRESS……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
POST CODE………………………………………………………………………………………………………………………………………
TELEPHONE NUMBER…………………………………………………………………………………………………………………………………
MOBILE NUMBER…………………………………………………………………………………………………………………………………
EMAIL ADDRESS…………………………………………………………………………………………………………………………………

SIGNATURE OF NOMINEE WHO HAD AGREED TO STAND FOR ELECTION
………………………………………………………………………………………………………………………………………………
DATE
…………………………………………………………………………………………………………………………………………….

NAME AND SIGNATURE OF PROPOSER………………………………………………………………………………………………………………………
DATE
………………………………………………………………………………………………………………………………………
NAME AND SIGNATURE OF SECONDER…………………………………………………………………………………………………………
DATE……………………………………………………………………………………………………….
Please print this off and return to me:-  
Rosemary Gillam, 3, Weston Lane, Totnes TQ9 5UN