Group Executive Nomination

NBAG Group Executive

I,    wish to let my name stand for the following position on the New Brunswick Agrologists Group Executive:

• President

• Secretary

Signature

Date

Application for Delegate Status

NBAG 2017 Annual General Meeting

Name of Member:

Membership Number:

Phone (work):

Phone (home):

Email (work): 

Email (home):

Rationale: (Please provide a brief explanation of why you feel you should be selected as a NBAG 2017 AGM delegate.)

PIPSC

1718 Argyle St., Suite 610

Halifax, NS, B3J 3N6

Fax: 1-800-238-7427 or 902-422-8516

E-mail: ddavis@pipsc.ca      Return to Halifax office ASAP.