NRC – LS NOMINATION FORM 2017

The following NRC-LS Regular Members nominate:

Candidate’s name (print)

as:

Group Executive title

Nominations must be supported by at least two (2) members of the Group:

1.

Name - Location (Building) - Phone No. - Signature & Date

2.

Name - Location (Building) - Phone No. - Signature & Date

I,

, hereby accept the nomination.

Candidate’s name (print)

Signature

Building & Phone No.

Date

Nomination forms must be submitted before November 27, 2017 at 4:00 pm (Ottawa time) by email at group_elections@pipsc.ca or fax it to: (c/o Pierre Ouellet) 613 228-9048 or 1 800 465-7477.